Women of Hope Resource Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2000281-07 Issued in NJ

Legal business name

WOMEN OF HOPE RESOURCE CENTER, INC

Practice address

331 White Horse Pike
Atco, NJ 08004-2230

Phone

(856) 767-3700

Fax

(856) 767-3743

NPI assigned

May 1, 2008

Last updated

Feb 24, 2023By 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

Debra Jacob-Thomas

Title

Executive Director

Phone

(856) 767-3700

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Women of Hope Resource Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Women of Hope Resource Center

  • Community/Behavioral Health Agency
  • Berlin, NJ
  • NPI 1306241856
  NPD tax ID
• Women of Hope Resource Center, Inc,

  • Case Management Agency
  • Pine Hill, NJ
  • NPI 1326220633
  NPD tax ID

Locations

Practitioners 3

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.

• Tyreasea Anicha Johnson-Mason, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Haddon Township, NJ
  • NPI 1003250101
  Medicare reassignment
• Leroy Stanford Jr.

  • Addiction (Substance Use Disorder) Counselor
  • Camden, NJ
  • NPI 1013395052
  NPD
• Sheldon Warren Gross, M.D.

  • Diagnostic Radiology Physician
  • Bala Cynwyd, PA
  • NPI 1285635805
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1740456656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WHITE HORSE PIKE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042230",
            "telephone_number": "856-767-3700",
            "fax_number": "856-767-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WHITE HORSE PIKE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042230",
            "telephone_number": "856-767-3700",
            "fax_number": "856-767-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN OF HOPE RESOURCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "JACOB-THOMAS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-767-3700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000281-07",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "1306241856",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155471",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160482",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Atco, NJ
• Providers in Atco, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.