Organization Active NPI

Hopehealth, Inc.

Doing business as HopeHealth Dental Irby

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
National Provider Identifier
1801271903
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOPEHEALTH, INC.
Doing business as
HopeHealth Dental Irby
Practice address
360 N Irby St
Florence, SC 29501-2808
Phone
(843) 667-9414
Fax
(843) 667-1362
NPI assigned
Jul 30, 2015
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Mark Vinson
Title
Cfo
Phone
(843) 656-0353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

360 N Irby St
Florence, SC 29501-2808

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other names 2

  • HopeHealth Dental Irby Doing business as
  • HopeHealth Irby Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031212000253 SC Part B Supplier - Clinic/Group Practice 4082510623 Receives reassigned benefits from 144 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orangeburg, SC; Timmonsville, SC; Manning, SC; Lake City, SC; Kingstree, SC; Greeleyville, SC; Hemingway, SC; Darlington, SC…
O20151021000064 SC Part A Provider - Federally Qualified Health Center (FQHC) 4082510623 Practice locations: Florence, SC
O20201023000750 SC MDPP Supplier - in-Person MDPP Supplier 4082510623 Practice locations: Florence, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801271903. Details of each certification follow.

Federally qualified health center certification: CCN 421028

Legal name
HOPEHEALTH, INC.
Doing business as
HOPE FOR THE PEE DEE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 14, 2016
Last certification
Jan 14, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 25, 1994 in SC
Enrollment address
360 North Irby Street
Florence, SC 29501

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory

Locations

86 N Main St
Greeleyville, SC 29056
Phone (843) 426-2180

148 Sauls St
Ste A
Lake City, SC 29560
Phone (843) 394-1051

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeanie Brown-Burrows Individual Corporate Officer Aug 4, 2015
Corporate DirectorBoard Member Feb 1, 2016
Elizabeth Poston Individual Corporate Director Feb 1, 2016
Brandis Winstead Individual Corporate Director Feb 1, 2016
Amber Turner Individual Corporate DirectorBoard Member Feb 1, 2016
Lamont Eagleton Individual Corporate Director Feb 1, 2016
Hopehealth, Inc. Organization, Florence, SC Corporation, Medical provider/supplier, Non-profit Operational/Managerial Control Feb 1, 2016
Jeannette Glenn Individual Corporate DirectorBoard Member Feb 1, 2016
Carl M Humphries Individual Corporate OfficerCeo Feb 1, 2016
W-2 Managing EmployeeCeo Feb 1, 2016
Lloyd Paige Individual Corporate DirectorBoard Member Feb 1, 2016
Tom Shearin Individual Corporate Director Feb 1, 2016
Darcy M Craven Individual Corporate Officer Aug 4, 2015
Corporate DirectorBoard Member Feb 1, 2016
Corey Grant Individual Corporate DirectorBoard Member Feb 1, 2015
Darryl Bridges Individual Corporate DirectorBoard Member Feb 1, 2016
Timothy Owens Individual Corporate DirectorBoard Member Feb 1, 2015
Mark Vinson Individual Corporate OfficerCfo Feb 1, 2016
W-2 Managing EmployeeCfo Feb 1, 2016
Edward M Behling Individual Corporate OfficerCmo Feb 1, 2016
W-2 Managing EmployeeCmo Aug 4, 2015
Marie Segars Individual Corporate Officer Aug 4, 2015
Corporate DirectorBoard Member Feb 1, 2016
Angela Hilton Individual Corporate OfficerCoo Feb 1, 2016
W-2 Managing EmployeeCoo Feb 1, 2016

Owners & managing parties with NPI records 23

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 23

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hopehealth FmuFlorence, SC, CCN 421943 Federally qualified health center Operational/Managerial Control Jun 8, 2011
Hope for the Pee Dee IncLake City, SC, CCN 421984 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hopehealth ManningManning, SC, CCN 421000 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hopehealth Manning PediatricsManning, SC, CCN 421001 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hopehealth, Inc.Greeleyville, SC, CCN 421031 Federally qualified health center Operational/Managerial Control Dec 1, 2015
Hopehealth, Inc.Florence, SC, CCN 421080 Federally qualified health center Operational/Managerial Control Oct 1, 2020
Hopehealth, Inc.Manning, SC, CCN 421081 Federally qualified health center Operational/Managerial Control Sep 25, 2020
Hopehealth, Inc.Hemingway, SC, CCN 871007 Federally qualified health center Operational/Managerial Control Jun 4, 2021
Hopehealth Pine NeedlesFlorence, SC, CCN 871018 Federally qualified health center Operational/Managerial Control Jul 28, 2021
Hopehealth Mills StreetManning, SC, CCN 871034 Federally qualified health center Operational/Managerial Control Jun 4, 2021
Hopehealth Timmonsville School Based Health CenterTimmonsville, SC, CCN 421084 Federally qualified health center Operational/Managerial Control Sep 9, 2022
Hopehealth at the ManorFlorence, SC, CCN 421117 Federally qualified health center Operational/Managerial Control Jan 24, 2025
Hopehealth WilliamsburgKingstree, SC, CCN 421118 Federally qualified health center Operational/Managerial Control Jul 15, 2024
Hopehealth J Paul Truluck School-Based Health CenterLake City, SC, CCN 421125 Federally qualified health center Operational/Managerial Control Apr 2, 2025

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1801271903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEHEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-656-0353"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HopeHealth Dental Irby",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HopeHealth Irby",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.