Active NPI
Hopewell Nurse Registry, LLC
- Home Health Agency
- Tallahassee, FL
National Provider Identifier
1689092504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30211090
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.