Active NPI
Hands of Hope Health Care Center
- Multi-Specialty Clinic/Center
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cynthia Jackson, CRNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135152 | Medicaid | AL | |
| 1306875828 | Other | AL | INDIVIDUAL NPI |
| 135146 | Medicaid | AL | |
| 51123471 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 1059384 | Other | AL | ALABAMA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2031021 | Hands of Hope Health Care Center | Certificate of waiver | Oct 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Nurse Practitioner
- Mobile, AL
- NPI 1306875828
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1407885254
-
- Family Nurse Practitioner
- Mobile, AL
- NPI 1336287531
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.