Active NPI
New Ray of Hope, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Stone Mountain, GA
National Provider Identifier
1679614309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL092533
- Legal business name
- NEW RAY OF HOPE, INC.
- Practice address
- 588 Kingsgate RDG
Stone Mountain, GA 30088-1828 - Phone
- (678) 793-8449
- Fax
- (770) 465-2374
- NPI assigned
- Feb 8, 2007
- 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
- Mrs. Carol L. Brppks
- Title
- Owner
- Phone
- (678) 793-8449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL092533 | NC | Primary |
Addresses
Primary practice location
588 Kingsgate RDG
Stone Mountain, GA 30088-1828
Mailing address
1305 Hendren Cir
Raleigh, NC 27610-4937
Phone (678) 793-8449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603563 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679614309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 HENDREN CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276104937",
"telephone_number": "678-793-8449",
"fax_number": "770-465-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 KINGSGATE RDG",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300881828",
"telephone_number": "678-793-8449",
"fax_number": "770-465-2374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW RAY OF HOPE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRPPKS",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-793-8449",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL092533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603563",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.