Organization Active NPI

Embrace Hope LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1548985013
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Oct 7, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Embrace Hope2 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.

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.

Verify at the official NPI Registry.