Organization Active NPI

Hope Supportive Services

  • In Home Supportive Care Agency
  • Montgomery, TX
National Provider Identifier
1710376017
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOPE SUPPORTIVE SERVICES
Practice address
16972 W Dounreay
Montgomery, TX 77316-2995
Phone
(936) 870-5164
Fax
(936) 588-0428
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Angella Nickerson
Title
Director
Phone
(936) 870-5164

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

16972 W Dounreay
Montgomery, TX 77316-2995

Mailing address

16972 W Dounreay
Montgomery, TX 77316-2995
Phone (936) 870-5164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1710376017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16972 W DOUNREAY",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162995",
            "telephone_number": "936-870-5164",
            "fax_number": "936-588-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16972 W DOUNREAY",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162995",
            "telephone_number": "936-870-5164",
            "fax_number": "936-588-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "936-870-5164"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.