Organization Active NPI

Harbor Hope Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Neenah, WI
National Provider Identifier
1790039519
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
0013938 Issued in WI
Legal business name
HARBOR HOPE INC.
Practice address
1626 S Park Ave
908 Baldwin St
Neenah, WI 54956-5025
Phone
(920) 225-9045
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Mr. Thomas Jeffrey Smith
Title
President
Phone
(920) 225-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 0013938 WI Primary

Addresses

Primary practice location

1626 S Park Ave
908 Baldwin St
Neenah, WI 54956-5025

Mailing address

1626 S Park Ave
Neenah, WI 54956-5025
Phone (920) 225-9045

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1790039519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S PARK AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565025",
            "telephone_number": "920-225-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S PARK AVE",
            "address_2": "908 BALDWIN ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565025",
            "telephone_number": "920-225-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOPE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-225-9045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": "0013938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.