Active NPI
Community of Hope, Inc
- Case Manager/Care Coordinator
- Palm Bay, FL
National Provider Identifier
1649752973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- COMMUNITY OF HOPE, INC
- Practice address
- 4515 Babcock St NE
Palm Bay, FL 32905-2824 - Phone
- (321) 474-0966
- Fax
- (321) 574-0799
- NPI assigned
- Sep 4, 2018
- 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
- Mr. Paul Drew Warren
- Title
- Executive Director
- Phone
- (321) 474-0966
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4515 Babcock St NE
Palm Bay, FL 32905-2824
Mailing address
PO Box 1253
Melbourne, FL 32902-1253
Phone (321) 474-0966
National Provider Directory
National Provider DirectoryLocations
4515 Babcock St NE
Palm Bay, FL 32905
Phone (321) 474-0966
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": "1536019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539820800000",
"number": "1649752973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1253",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329021253",
"telephone_number": "321-474-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 BABCOCK ST NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052824",
"telephone_number": "321-474-0966",
"fax_number": "321-574-0799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY OF HOPE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-04",
"last_updated": "2018-10-18",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "DREW",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "321-474-0966",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.