Active NPI
Hope House Inc.
- Community/Behavioral Health Agency
- Albany, NY
National Provider Identifier
1619053683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 041210474
- Legal business name
- HOPE HOUSE INC.
- Practice address
- 573 Livingston Ave
Albany, NY 12206 - Phone
- (518) 452-0001
- Fax
- (518) 452-1351
- NPI assigned
- Oct 31, 2006
- 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
- Kevin M. Connally
- Title
- Executive Director
- Phone
- (518) 482-4673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 041210474 | NY | Primary |
Addresses
Primary practice location
573 Livingston Ave
Albany, NY 12206
Mailing address
573 Livingston Ave
Albany, NY 12206
Phone (518) 482-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150805007059 | NY | Part B Supplier - Clinic/Group Practice | 3971817891 |
Receives reassigned benefits from 2 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albany, NY; Troy, NY |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Troy, NY
- NPI 1003401571
O20150805007059
-
- Children's Substance Abuse Rehabilitation Facility
- Albany, NY
- NPI 1376932558
O20150805007059
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426464000000",
"number": "1619053683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 LIVINGSTON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12206",
"telephone_number": "518-482-4673",
"fax_number": "518-482-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 LIVINGSTON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12206",
"telephone_number": "518-452-0001",
"fax_number": "518-452-1351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HOUSE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2015-03-16",
"status": "A",
"authorized_official_last_name": "CONNALLY",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "518-482-4673"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "041210474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.