Organization Active NPI

Hope Esperanza Restoration and Empowerment Center, Inc

  • Rehabilitation Clinic/Center
  • Waldorf, MD
National Provider Identifier
1679288781
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
HOPE ESPERANZA RESTORATION AND EMPOWERMENT CENTER, INC
Practice address
2 Industrial Park Dr Ste C
Waldorf, MD 20602-2729
Phone
(301) 792-7207
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Iesha P Rosenboro, MA, LGPC
Title
Ceo
Phone
(301) 793-3800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2 Industrial Park Dr Ste C
Waldorf, MD 20602-2729

Mailing address

11288 Burberry St
White Plains, MD 20695-3187
Phone (301) 793-3800

Other names 1

  • The HERE Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://secure.simplepractice.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Hope Esperanza Restoration and Empowerment Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Industrial Park Dr
Ste C
Waldorf, MD 20602
Phone (301) 792-7207

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1679288781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11288 BURBERRY ST",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953187",
            "telephone_number": "301-793-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL PARK DR STE C",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022729",
            "telephone_number": "301-792-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE ESPERANZA RESTORATION AND EMPOWERMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "ROSENBORO",
        "authorized_official_first_name": "IESHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-793-3800",
        "authorized_official_credential": "MA, LGPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant healthcare portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure database system",
            "address_1": "2 Industrial Park Dr Ste C",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206022729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The HERE Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The HERE Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.