Hopewave LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HOPEWAVE LLC

Practice address

1270 E Broadway Rd Ste 120
Tempe, AZ 85282-1516

Phone

(602) 244-1358

NPI assigned

Jul 24, 2023

Last updated

Dec 16, 2023By 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

Moahamed Ahmed

Title

Ceo

Phone

(602) 244-1358

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702684800000",
    "number": "1821778838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 E BROADWAY RD STE 120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821516",
            "telephone_number": "619-315-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E BROADWAY RD STE 120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821516",
            "telephone_number": "602-244-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOAHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-244-1358"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Darryl Joe Hornback, D.C.

• Adult Mental Health Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.