Hope Intensive in Home Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

40005001 Issued in VA

Legal business name

HOPE INTENSIVE IN HOME SERVICES

Practice address

17 Hollyhill Dr
Petersburg, VA 23805-2559

Phone

(804) 863-2071

Fax

(804) 863-2073

NPI assigned

Aug 5, 2008

Organization subpart

Yes

Parent organization

PHOENIX-N-PEACE ADULT CARE RESIDENCEAs reported in NPPES

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

Authorized official

Name

Marilyn Coleman Newby

Title

Owner

Phone

(804) 991-3491

Specialties & licenses 1

Addresses

Part of

Phoenix-N-Peace Acr Inc

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1720244106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18799 LOVING UNION RD",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238427038",
            "telephone_number": "804-991-3491",
            "fax_number": "804-991-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HOLLYHILL DR",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052559",
            "telephone_number": "804-863-2071",
            "fax_number": "804-863-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE INTENSIVE IN HOME SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX-N-PEACE ADULT CARE RESIDENCE",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-991-3491"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "40005001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.