Brevard Hope Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BREVARD HOPE CENTER

Practice address

101 W Brevard Dr
Melbourne, FL 32935-6709

Phone

(321) 735-2696

Fax

(321) 270-8885

NPI assigned

Jan 6, 2016

Last updated

Jan 17, 2016By 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

Twannette T Jeffress

Title

Founder

Phone

(321) 735-2696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452988800000",
    "number": "1801252887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRANDY CREEK CIR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329092331",
            "telephone_number": "321-735-2696",
            "fax_number": "321-270-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BREVARD DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356709",
            "telephone_number": "321-735-2696",
            "fax_number": "321-270-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD HOPE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-17",
        "status": "A",
        "authorized_official_last_name": "JEFFRESS",
        "authorized_official_first_name": "TWANNETTE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "321-735-2696"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2016; 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.