Active NPI
Fort of Hope LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pasadena, TX
National Provider Identifier
1427557123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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, LP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
dba MedCare Sports Rehab & Recovery
- Pediatric Sports Medicine Physician
- Stafford, TX
- NPI 1023520509
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.