NPIMap

Organization Active NPI

Hope Select Care

  • PACE Provider Organization
  • Fort Myers, FL
National Provider Identifier
1467632406
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
HOPE SELECT CARE
Practice address
2668 Winkler Ave
Fort Myers, FL 33901-9336
Phone
(239) 985-6400
NPI assigned
Nov 7, 2007
Last updated
Oct 6, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
HOPE HOSPICE AND COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Mrs. Samira Beckwith
Title
President, Ceo
Phone
(239) 482-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X NU Primary

Addresses

Primary practice location

2668 Winkler Ave
Fort Myers, FL 33901-9336

Mailing address

9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone (239) 482-4673

Other identifiers 1

IdentifierTypeStateIssuer
0150797 00MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Hope Hospice5 organizations share this tax ID, including this one
Part of
Hope Hospice

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2668 Winkler Ave
Fort Myers, FL 33901
Phone (239) 985-6400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1467632406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-482-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019336",
            "telephone_number": "239-985-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SELECT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE HOSPICE AND COMMUNITY SERVICES",
        "enumeration_date": "2007-11-07",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "239-482-4673",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150797 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.