NPIMap

Organization Active NPI

Rising Hope Clinical Assistance, LLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1720529357
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RISING HOPE CLINICAL ASSISTANCE, LLC
Practice address
510 Northgate Park Dr
Winston Salem, NC 27106
Phone
(336) 276-2076
Fax
(336) 293-8843
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Jeremy Simpson
Title
Executive Director
Phone
(336) 276-2076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

510 Northgate Park Dr
Winston Salem, NC 27106

Mailing address

PO Box 567
Greensboro, NC 27402-0567
Phone (336) 276-2076

National Provider Directory

National Provider Directory
Tax ID family
Rising Hope Clinical Assistance LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

510 Northgate Park Dr
Winston Salem, NC 27106
Phone (336) 276-2076

Practitioners & affiliated clinicians

Practitioners 2

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": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1720529357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274020567",
            "telephone_number": "336-276-2076",
            "fax_number": "336-293-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTHGATE PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-276-2076",
            "fax_number": "336-293-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING HOPE CLINICAL ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-276-2076"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.