Hope, Love and Grace, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS110387757 Issued in MI

Legal business name

HOPE, LOVE AND GRACE, LLC

Practice address

785 Pipestone St
Benton Harbor, MI 49022-4815

Phone

(269) 921-3928

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Constance Dominique Adams

Title

Administrator

Phone

(269) 921-3928

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1649784000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 E DELAWARE AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 PIPESTONE ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224815",
            "telephone_number": "269-921-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE, LOVE AND GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-921-3928",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS110387757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.