Active NPI
Dell House of Hope LLC
- Developmentally Disabled Services Day Training Agency
- Daytona Beach, FL
National Provider Identifier
1689430753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- DELL HOUSE OF HOPE LLC
- Practice address
- 128 Orange Ave
Daytona Beach, FL 32114-4310 - Phone
- (689) 254-9120
- NPI assigned
- Feb 26, 2024
- 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
- Raven Johnson
- Title
- Manager
- Phone
- (321) 946-4900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
128 Orange Ave
Daytona Beach, FL 32114-4310
Mailing address
128 Orange Ave
Daytona Beach, FL 32114-4310
Phone (407) 259-2920
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1689430753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 ORANGE AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144310",
"telephone_number": "407-259-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 ORANGE AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144310",
"telephone_number": "689-254-9120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELL HOUSE OF HOPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "RAVEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "321-946-4900"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.