Organization Active NPI

Fort of Hope LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pasadena, TX
National Provider Identifier
1427557123
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
FORT OF HOPE LLC
Practice address
5095 Preston Ave
Pasadena, TX 77505-2053
Phone
(713) 875-7435
NPI assigned
Feb 8, 2018
Organization subpart
Yes
Parent organization
MEDCARE PEDIATRIC GROUP, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Paige Kinkade
Title
Managing Member
Phone
(713) 875-7435

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Physical Disabilities Residential Treatment Facility 320700000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

5095 Preston Ave
Pasadena, TX 77505-2053

Mailing address

12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone (713) 875-7435

National Provider Directory

National Provider Directory
Part of
Medcare Pediatric Group LP

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1427557123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-875-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 PRESTON AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052053",
            "telephone_number": "713-875-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT OF HOPE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDCARE PEDIATRIC GROUP, LP",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "KINKADE",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "713-875-7435"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.