De-Borah'S Hope House

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-041-1005 Issued in NC

Legal business name

DE-BORAH'S HOPE HOUSE

Practice address

3113 McConnell Rd
Greensboro, NC 27405-9611

Phone

(336) 274-1988

Fax

(336) 834-2215

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Marian Alston Wallace

Title

Director

Phone

(336) 908-1152

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1689970956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 FOX TROT RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068235",
            "telephone_number": "336-908-1152",
            "fax_number": "336-834-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 MCCONNELL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059611",
            "telephone_number": "336-274-1988",
            "fax_number": "336-834-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE-BORAH'S HOPE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "ALSTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-908-1152"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-041-1005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320800000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Joseph De Cuba II, M.D., M.P.H.
• Elizabeth De Hostos - McLaughlin, MSW, LCSW
• Zuleyma De la Sancha Arroyo
• Cortney Elizabeth De la Torre
• Katyucia De Macedo Rodrigues, M.D.
• Dean Internal Medicine
• Carmen Imara Dean
• Elaine Wilder Dean
• Emily Dean
• Eric L Dean, MD

• Mental Illness Community Based Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.