Hope Residential Healthcare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOPE RESIDENTIAL HEALTHCARE LLC

Practice address

10239 Southerwick PL
Johnston, IA 50131-2558

Phone

(515) 418-5807

NPI assigned

Jan 13, 2025

Last updated

Jan 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jean Mugabe, PHD

Title

Ceo

Phone

(515) 418-5807

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Baptiste Mugabe

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Johnston, IA
  • NPI 1609697002

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1700696606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10239 SOUTHERWICK PL",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312558",
            "telephone_number": "515-418-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10239 SOUTHERWICK PL",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312558",
            "telephone_number": "515-418-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE RESIDENTIAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "MUGABE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-418-5807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Johnston, IA
• Providers in Johnston, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.