Infinite Hope Community Outreach

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INFINITE HOPE COMMUNITY OUTREACH

Practice address

2354 Sumpter Hwy
Bishopville, SC 29010

Phone

(803) 470-4908

Fax

(888) 552-1363

NPI assigned

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Kenya Young

Title

Executive Director

Phone

(803) 470-4908

Specialties & licenses 2

Addresses

Other names 1

• Infinite Hope Doing business as

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1407377906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61237",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276611237",
            "telephone_number": "803-470-4908",
            "fax_number": "888-552-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 SUMPTER HWY",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "29010",
            "telephone_number": "803-470-4908",
            "fax_number": "888-552-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE HOPE COMMUNITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-470-4908"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice D Hicks
• Kathy Holloman
• Travis S Holmes, MHC
• Paul Homeyer, LPC
• Leon Hunt
• Salimah Jamison
• Jandi Renee Jefferson
• Latonya Ruth Johnson
• Fayshawn F Julien
• Clara Ann Kelley, RN

• Clinical Social Worker in Bishopville, SC
• Providers in Bishopville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.