Organization Active NPI

Hopeland Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Tampa, FL
National Provider Identifier
1760136386
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Feb 11, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103906900MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.