Active NPI
Hopeland Homes LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Tampa, FL
National Provider Identifier
1760136386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- HOPELAND HOMES LLC
- Practice address
- 8218 Swann Hollow Dr
Tampa, FL 33647-3611 - Phone
- (951) 218-3475
- NPI assigned
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre J Campbell
- Title
- Waiver Provider
- Phone
- (951) 218-3475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
8218 Swann Hollow Dr
Tampa, FL 33647-3611
Mailing address
8218 Swann Hollow Dr
Tampa, FL 33647-3611
Phone (951) 218-3475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103906900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1760136386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8218 SWANN HOLLOW DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473611",
"telephone_number": "951-218-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8218 SWANN HOLLOW DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473611",
"telephone_number": "951-218-3475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPELAND HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "ANDRE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "WAIVER PROVIDER",
"authorized_official_telephone_number": "951-218-3475"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103906900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.