Active NPI
Embrace Hope LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Laveen, AZ
National Provider Identifier
1548985013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- EMBRACE HOPE LLC
- Practice address
- 5615 S 55TH LN
Laveen, AZ 85339-1524 - Phone
- (641) 781-1444
- NPI assigned
- Oct 7, 2022
- 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
- Edidiong Effiong
- Title
- Ceo
- Phone
- (641) 781-1444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
5615 S 55TH LN
Laveen, AZ 85339-1524
Mailing address
5615 S 55TH LN
Laveen, AZ 85339-1524
Other names 1
- EMBRACE HOPE/ LAKEVIEW
National Provider Directory
National Provider Directory- Tax ID family
- Embrace Hope
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Gilbert, AZ
- NPI 1629684139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665100800000",
"number": "1548985013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 S 55TH LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853391524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 S 55TH LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853391524",
"telephone_number": "641-781-1444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBRACE HOPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A",
"authorized_official_last_name": "EFFIONG",
"authorized_official_first_name": "EDIDIONG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "641-781-1444"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EMBRACE HOPE/ LAKEVIEW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.