Organization Active NPI

Hope and Restoration

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1568723799
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOPE AND RESTORATION
Practice address
3514 Clearwater Dr
Fayetteville, NC 28311-2619
Phone
(910) 574-3870
Fax
(910) 574-3870
NPI assigned
Jun 5, 2012
Last updated
Jun 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mr. James J Tillman
Title
Ceo/Executive Director
Phone
(910) 574-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3514 Clearwater Dr
Fayetteville, NC 28311-2619

Mailing address

3514 Clearwater Dr
Fayetteville, NC 28311-2619
Phone (910) 574-3870

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1568723799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 CLEARWATER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112619",
            "telephone_number": "910-574-3870",
            "fax_number": "910-574-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 CLEARWATER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112619",
            "telephone_number": "910-574-3870",
            "fax_number": "910-574-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE AND RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-574-3870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.