Active NPI
Hope House, Inc.
- Children's Substance Abuse Rehabilitation Facility
- Albany, NY
National Provider Identifier
1376932558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- License
- 151211859
- Legal business name
- HOPE HOUSE, INC.
- Practice address
- 577 Livingston Ave.
Albany, NY 12206 - Phone
- (518) 482-4673
- Fax
- (518) 482-0873
- NPI assigned
- Jan 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Pasquarell
- Title
- Director of Finance
- Phone
- (518) 482-4673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | 151211859 | NY | Primary |
Addresses
Primary practice location
577 Livingston Ave.
Albany, NY 12206
Mailing address
573 Livingston Ave
Albany, NY 12206-2408
Phone (518) 482-4673
Other names 1
- Hope House CRP2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150805007059 | NY | Part B Supplier - Clinic/Group Practice | 3971817891 |
Receives reassigned benefits from 2 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albany, NY; Troy, NY |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Troy, NY
- NPI 1003401571
O20150805007059
National Provider Directory
National Provider DirectoryLocations
577 Livingston Ave
Albany, NY 12206
Phone (518) 482-4673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421020800000",
"number": "1376932558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 LIVINGSTON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122062408",
"telephone_number": "518-482-4673",
"fax_number": "518-482-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 LIVINGSTON AVE.",
"city": "ALBANY",
"state": "NY",
"postal_code": "12206",
"telephone_number": "518-482-4673",
"fax_number": "518-482-0873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A",
"authorized_official_last_name": "PASQUARELL",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "518-482-4673"
},
"taxonomies": [
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "NY",
"license": "151211859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope House CRP2",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.