Hope Village LLC
Organization Active NPI Community/Behavioral Health Agency · Rootstown, OH
NPI 1316505019 · NPPES record last updated May 29, 2019
Key facts
- NPI
- 1316505019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- HOPE VILLAGE LLC
- Practice address
- 3975 Kenneth Dr
Rootstown, OH 44272-9252 - Phone
- (330) 850-5141
- Fax
- (330) 850-5349
- NPI assigned
- May 29, 2019
- Organization subpart
- No
Authorized official
- Name
- Ted Carl St. John
- Title
- Ceo
- Phone
- (330) 850-5141
Practitioners 27
-
Richard Behr, PEER SUPPORTER
-
Jamie Lynn Brant, LPC
-
Robert Michael Christian II, LSW, LCDC III
-
Adam Ciganik, PEER SUPPORTER
-
Maria Ann Favorite, LPC
-
Katharine Fertig, LISW-S
-
Carly F Frey, LPCC
-
Dorothea Genae Hardrick, LPCC-S
-
Breanna Jones, PRS
-
Barbara Ellen Kates, LPC
-
Aubrey Lattimer, MA, LPCC
-
Jenna Dawn Slingluff, CDCA
-
Rebecca Alice Smith, LPCC, LICDC
-
Nicole Dawn Whitmer, LSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3975 Kenneth Dr
Rootstown, OH 44272-9252
Mailing address
3975 Kenneth Dr
Rootstown, OH 44272-9252
Phone (330) 850-5141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0324390 | Medicaid | OH |
Other providers in Rootstown, OH
- Stacie Graves
- Michele Renee Gregory
- Alicia Dawn Grether
- Dorothea Genae Hardrick
- Hope Village LLC
- Prathamesh Ingale
- Kayla Nicole Johnson
- Breanna Jones
- Premala Jones
- Keith Karlo
All providers in Rootstown, OH · Community/Behavioral Health Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.