Organization Active NPI

Hope Care Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1497426159
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOPE CARE SERVICES, LLC
Practice address
5688 Utrecht Rd
Baltimore, MD 21206-2905
Phone
(443) 850-7624
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Authorized official

Name
Yetunde E Adegoroye, CRNP-PMHNPI 1245884733
Title
Owner
Phone
(443) 850-7624

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

5688 Utrecht Rd
Baltimore, MD 21206-2905

Mailing address

3110 Karendale Cir
Windsor Mill, MD 21244-2028
Phone (443) 850-7624

Other identifiers 1

IdentifierTypeStateIssuer
W21208319MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Hope Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1497426159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 KARENDALE CIR",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442028",
            "telephone_number": "443-850-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5688 UTRECHT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062905",
            "telephone_number": "443-850-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "ADEGOROYE",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-850-7624",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W21208319",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.