Hope House Restoration Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

041916 Issued in NC

Legal business name

HOPE HOUSE RESTORATION CENTER

Practice address

4102 Cornerrock Dr
Greensboro, NC 27406-8586

Phone

(336) 697-8451

Fax

(336) 697-7939

NPI assigned

Jun 30, 2009

Organization subpart

No

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

Authorized official

Name

Trisha E Becton

Title

Director

Phone

(336) 965-8404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1811125669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 CORNERROCK DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068586",
            "telephone_number": "336-697-8451",
            "fax_number": "336-697-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 CORNERROCK DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068586",
            "telephone_number": "336-697-8451",
            "fax_number": "336-697-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HOUSE RESTORATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "BECTON",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-965-8404"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "041916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Gloria Hoover, MD
• Tiffany Angelica Hoover, BA
• Hope Advancement Inc.
• Hope Advancement Inc.
• Hope House Community Outreach Inc
• Hope Street, LLC
• Detra Hopkins, MSW, LCSWA
• Heather Hopkins
• Sarah Hopkins
• Shaniece G Hopkins

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.