Organization Active NPI

Hopewell Nurse Registry, LLC

  • Home Health Agency
  • Tallahassee, FL
National Provider Identifier
1689092504
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211090 Issued in FL
Legal business name
HOPEWELL NURSE REGISTRY, LLC
Practice address
2121 Killarney Way
Suite H
Tallahassee, FL 32309-3458
Phone
(850) 386-5552
Fax
(850) 386-5505
NPI assigned
Mar 29, 2014
Organization subpart
Yes
Parent organization
HOPEWELL HOME HEALTH CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Authorized official

Name
Mr. Blake Steven Hayward, ESQ.
Title
President
Phone
(850) 386-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211090 FL Primary

Addresses

Primary practice location

2121 Killarney Way
Suite H
Tallahassee, FL 32309-3458

Mailing address

2121 Killarney Way
Suite H
Tallahassee, FL 32309-3458
Phone (850) 386-5552

National Provider Directory

National Provider Directory
Part of
Life-Timesolutions LLC

Locations

2121 Killarney Way
Ste H
Tallahassee, FL 32309
Phone (850) 386-5552

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1689092504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 KILLARNEY WAY",
            "address_2": "SUITE H",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093458",
            "telephone_number": "850-386-5552",
            "fax_number": "850-386-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 KILLARNEY WAY",
            "address_2": "SUITE H",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093458",
            "telephone_number": "850-386-5552",
            "fax_number": "850-386-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL NURSE REGISTRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEWELL HOME HEALTH CARE, LLC",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-386-5552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.