Organization Active NPI

Hope Home Service

  • In Home Supportive Care Agency
  • Palm Coast, FL
National Provider Identifier
1285177808
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
234531 Issued in FL
Legal business name
HOPE HOME SERVICE
Practice address
35 Radcliffe Dr
Palm Coast, FL 32164-5008
Phone
(386) 589-0619
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
April Sermon-Davis
Title
Owner/ Manger
Phone
(386) 589-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 234531 FL Primary

Addresses

Primary practice location

35 Radcliffe Dr
Palm Coast, FL 32164-5008

Mailing address

35 Radcliffe Dr
Palm Coast, FL 32164-5008
Phone (386) 589-0619

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1285177808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RADCLIFFE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645008",
            "telephone_number": "386-589-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RADCLIFFE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645008",
            "telephone_number": "386-589-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HOME SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "SERMON-DAVIS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER/ MANGER",
        "authorized_official_telephone_number": "386-589-0619"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.