Organization Active NPI

Hands of Hope Health Care Center

  • Multi-Specialty Clinic/Center
  • Mobile, AL
National Provider Identifier
1487923520
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HANDS OF HOPE HEALTH CARE CENTER
Practice address
4625 Moffett Rd.
Mobile, AL 36618
Phone
(251) 287-6146
Fax
(251) 287-6154
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Ms. Cynthia Jackson, CRNPNPI 1306875828
Title
Administrator
Phone
(251) 287-6146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X AL Primary

Addresses

Primary practice location

4625 Moffett Rd.
Mobile, AL 36618

Mailing address

4625 Moffett Rd.
Mobile, AL 36618
Phone (251) 287-6146

Other identifiers 5

IdentifierTypeStateIssuer
135152MedicaidAL
1306875828OtherALINDIVIDUAL NPI
135146MedicaidAL
51123471OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
1059384OtherALALABAMA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120125000882 AL Part B Supplier - Clinic/Group Practice 9032386404 Receives reassigned benefits from 4 practitioners
Practice locations: Mobile, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2031021Hands of Hope Health Care Center4625 Moffett Rd, Mobile, AL 36618Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory

Locations

851 E I65 Service Rd S
Ste 402
Mobile, AL 36606

3408 Beltline Park Dr N
Mobile, AL 36617
Phone (251) 287-6146

851 E I65 Service Rd S
Mobile, AL 36606

4625 Moffett Rd
Mobile, AL 36618
Phone (251) 287-6146

3408 Beltline Park Dr N
#A
Mobile, AL 36617
Phone (251) 287-6146

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18033/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1487923520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 MOFFETT RD.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36618",
            "telephone_number": "251-287-6146",
            "fax_number": "251-287-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 MOFFETT RD.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36618",
            "telephone_number": "251-287-6146",
            "fax_number": "251-287-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS OF HOPE HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-287-6146",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135152",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306875828",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135146",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51123471",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSE",
            "identifier": "1059384",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.