NPIMap

Organization Active NPI

Bokker Enterprises, Inc.

Doing business as Hope Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Salem, AR
National Provider Identifier
1821564436
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOKKER ENTERPRISES, INC.
Doing business as
Hope Behavioral Healthcare
Practice address
115 Turner Lane, Ste #2
Salem, AR 72576
Phone
(870) 384-1744
Fax
(870) 384-1743
NPI assigned
Oct 22, 2018
Last updated
Oct 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BOKKER ENTERPRISES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Joanna Wade
Title
Office Manager
Phone
(870) 257-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

115 Turner Lane, Ste #2
Salem, AR 72576

Mailing address

115 Turner Lane, Ste #2
Salem, AR 72576
Phone (870) 384-1744

Other names 1

  • Hope Behavioral Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000218 AR Part B Supplier - Clinic/Group Practice 8628153194 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Highland, AR; Salem, AR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Bokker Enterprises Inc2 organizations share this tax ID, including this one
Part of
Bokker Enterprises Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2012 Highway 62 412
Highland, AR 72542
Phone (866) 533-1761

115 Turner Ln
Ste 2
Salem, AR 72576
Phone (870) 384-1744

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1821564436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TURNER LANE, STE #2",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "72576",
            "telephone_number": "870-384-1744",
            "fax_number": "870-384-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TURNER LANE, STE #2",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "72576",
            "telephone_number": "870-384-1744",
            "fax_number": "870-384-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOKKER ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOKKER ENTERPRISES, INC.",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-257-3336"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hope Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.