NPIMap

Organization Active NPI

Hope and Healing Clinic LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tumwater, WA
National Provider Identifier
1669258133
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HOPE AND HEALING CLINIC LLC
Practice address
9474 Lathrop Industrial Dr SW
Tumwater, WA 98512
Phone
(253) 961-1813
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Josett Ross
Title
Agency Contact Person
Phone
(253) 961-1813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

9474 Lathrop Industrial Dr SW
Tumwater, WA 98512

Mailing address

420 Howanut Rd
Oakville, WA 98568-9659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 28, 2025

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240402000050 TX Part B Supplier - Opioid Treatment Program (Otp) 8729426499 Practice locations: Tumwater, WA
O20250225002978 TX Part B Supplier - Clinic/Group Practice 8729426499 Receives reassigned benefits from 3 practitioners
Practice locations: Tumwater, WA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

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": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1669258133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HOWANUT RD",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985689659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9474 LATHROP INDUSTRIAL DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "253-961-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE AND HEALING CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOSETT",
        "authorized_official_title_or_position": "AGENCY CONTACT PERSON",
        "authorized_official_telephone_number": "253-961-1813"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.

Verify at the official NPI Registry.