Organization Active NPI

New Ray of Hope, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Stone Mountain, GA
National Provider Identifier
1679614309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL092533 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6603563MedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.