Organization Active NPI

Community of Hope, Inc

  • Case Manager/Care Coordinator
  • Palm Bay, FL
National Provider Identifier
1649752973
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Mr. Paul Drew WarrenNPI 1396015228
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)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.