Faith Hope Care Provider

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1586 Issued in VA

Legal business name

FAITH HOPE CARE PROVIDER

Practice address

153 Blackheath
Williamsburg, VA 23188-7482

Phone

(757) 209-1060

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Clarence MayoNPI 1962821611

Title

Director

Phone

(757) 209-1060

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarence Mayo

  • Point of Service
  • Williamsburg, VA
  • NPI 1962821611
  NPD (past) Authorized official

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1477965838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BLACKHEATH",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887482",
            "telephone_number": "757-209-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BLACKHEATH",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887482",
            "telephone_number": "757-209-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOPE CARE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-209-1060"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.