NPIMap

Organization Active NPI

St. Hope Foundation, Inc.

  • Clinic/Center
  • Conroe, TX
National Provider Identifier
1497097604
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ST. HOPE FOUNDATION, INC.
Practice address
1414 S Frazier St
Suite 105
Conroe, TX 77301-4453
Phone
(936) 441-2440
Fax
(800) 249-5020
NPI assigned
Mar 26, 2013
Organization subpart
Yes
Parent organization
SHF/MY WELLNESS PLACE - CONROEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Ms. Tamika R Sam-Cooper
Title
Director of Operations
Phone
(713) 778-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1414 S Frazier St
Suite 105
Conroe, TX 77301-4453

Mailing address

6200 Savoy Dr
Suite 540
Houston, TX 77036-3300
Phone (713) 778-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000896 TX Part B Supplier - Clinic/Group Practice 4880508878 Receives reassigned benefits from 19 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sugar Land, TX; Conroe, TX; Jersey Village, TX; Houston, TX; Dickinson, TX; Bellaire, TX

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Part of
St Hope Pharmacy

Practitioners & affiliated clinicians

Practitioners 11

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": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1497097604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SAVOY DR",
            "address_2": "SUITE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363300",
            "telephone_number": "713-778-1300",
            "fax_number": "713-778-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S FRAZIER ST",
            "address_2": "SUITE 105",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014453",
            "telephone_number": "936-441-2440",
            "fax_number": "800-249-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. HOPE FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHF/MY WELLNESS PLACE - CONROE",
        "enumeration_date": "2013-03-26",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "SAM-COOPER",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "713-778-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.