Hope in the Carolina, LLC
Organization Active NPI Psychiatry Physician · Kenansville, NC
NPI 1427375005 · NPPES record last updated Apr 22, 2010
Key facts
- NPI
- 1427375005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 89127KP (NC)
- Legal business name
- HOPE IN THE CAROLINA, LLC
- Practice address
- 302 North Main Street
Kenansville, NC 28349-9091 - Phone
- (910) 916-3929
- NPI assigned
- Apr 22, 2010
- Organization subpart
- No
Authorized official
- Name
- Shelton Parker
- Title
- Executive Director
- Phone
- (910) 916-3929
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Hope in the Carolina LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | 89127KP | NC | Yes |
Addresses
Primary practice location
302 North Main Street
Kenansville, NC 28349-9091
Mailing address
PO Box 1576
Roseboro, NC 28382-1576
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301208 | Medicaid | NC |
Other providers in Kenansville, NC
- Teresa Ann Holland
- Jordan Walter Holmgren
- Hometown Primary Care PLLC
- Hope in the Carolina, L.L.C.
- Hope in the Carolina, LLC
- Hope Inthe Carolina, L.L.C.
- Howell Support Services
- Hunter C. Joh, DDS PA
- Amanda Ward Isbell
- Sri Lakshmi Jasthy
All providers in Kenansville, NC · Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2010. 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.