Active NPI
Hopehealth, Inc
Doing business as HopeHealth Dental Lake City
- Federally Qualified Health Center (FQHC)
- Lake City, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HOPEHEALTH, INC
- Doing business as
- HopeHealth Dental Lake City
HopeHealth Lake City Sauls Street - Practice address
- 148 Sauls St Ste a
Lake City, SC 29560-2677 - Phone
- (843) 394-1051
- Fax
- (843) 394-0277
- NPI assigned
- Oct 16, 2012
- Last updated
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Vinson
- Title
- Chief Financial Officer
- Phone
- (843) 656-0353
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
148 Sauls St Ste a
Lake City, SC 29560-2677
Mailing address
360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414
Other practice location 1
241 Kelley St
Lake City, SC 29560-2446
Phone (843) 394-1051
Other names 3
- HopeHealth Dental Lake City
- HopeHealth Lake City Sauls Street
- HopeHealth Lake City
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20130404000115 | SC | Part A Provider - Federally Qualified Health Center (FQHC) | 4082510623 | Practice locations: Lake City, SC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831442854. Details of each certification follow.
Federally qualified health center certification: CCN 421984
- Legal name
- HOPEHEALTH, INC.
- Doing business as
- HOPE FOR THE PEE DEE INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 4, 2013
- Last certification
- Apr 4, 2013
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Feb 25, 1994 in SC
- Enrollment address
- 148 Sauls St
Ste a
Lake City, SC 29560-2677
Other NPIs with the same Medicare PAC ID 22
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba HopeHealth Bethea
- Federally Qualified Health Center (FQHC)
- Darlington, SC
- NPI 1124564497
4082510623
-
dba HopeHealth Manning School Based Clinic
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1124627153
4082510623
-
dba HopeHealth Second Loop Rd
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1194322586
4082510623
-
dba HopeHealth Kingstree DBA Williamsburg Pharmacy
- Federally Qualified Health Center (FQHC)
- Kingstree, SC
- NPI 1316754989
4082510623
-
dba HopeHealth at the Manor
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1578377115
4082510623
-
dba Hopehealth Dental Timmonsville School Based
- Federally Qualified Health Center (FQHC)
- Timmonsville, SC
- NPI 1609599679
4082510623
-
dba HopeHealth J. Paul Truluck School-based Health Center
- Federally Qualified Health Center (FQHC)
- Lake City, SC
- NPI 1649069618
4082510623
-
dba Williamsburg Pharmacy
- Community/Retail Pharmacy
- Kingstree, SC
- NPI 1720390982
4082510623
-
dba HopeHealth Dental Palmetto
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1821002411
4082510623
-
dba HopeHealth Manning Pediatrics
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1013259712
4082510623
Other NPIs on the same Medicare enrollment 22
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba HopeHealth Lower Savannah
- Family Nurse Practitioner
- Aiken, SC
- NPI 1053772525
O20031212000253
-
dba HopeHealth Bethea
- Federally Qualified Health Center (FQHC)
- Darlington, SC
- NPI 1124564497
O20031212000253
-
dba HopeHealth Manning School Based Clinic
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1124627153
O20031212000253
-
dba HopeHealth Second Loop Rd
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1194322586
O20031212000253
-
dba HopeHealth at the Manor
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1578377115
O20031212000253
-
dba Hopehealth Dental Timmonsville School Based
- Federally Qualified Health Center (FQHC)
- Timmonsville, SC
- NPI 1609599679
O20031212000253
-
dba HopeHealth Dental Palmetto
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1821002411
O20031212000253
-
dba HopeHealth Manning Pediatrics
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1013259712
O20031212000253
-
- Federally Qualified Health Center (FQHC)
- Lake City, SC
- NPI 1114353786
O20031212000253
-
- Federally Qualified Health Center (FQHC)
- Timmonsville, SC
- NPI 1124360136
O20031212000253
-
dba HopeHealth Manning
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1336480300
O20031212000253
-
dba HopeHealth Pharmacy Orangeburg
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1346601812
O20031212000253
National Provider Directory
National Provider Directory- Tax ID family
- Hope Health
Other organizations with this tax ID 26
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Florence, SC
- NPI 1780063289
-
dba HopeHealth Bethea
- Federally Qualified Health Center (FQHC)
- Darlington, SC
- NPI 1124564497
-
dba HopeHealth Manning School Based Clinic
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1124627153
-
dba HopeHealth Second Loop Rd
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1194322586
-
dba HopeHealth Kingstree DBA Williamsburg Pharmacy
- Federally Qualified Health Center (FQHC)
- Kingstree, SC
- NPI 1316754989
-
dba HopeHealth Pharmacy Greeleyville
- Community/Retail Pharmacy
- Greeleyville, SC
- NPI 1568527752
-
dba HopeHealth at the Manor
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1578377115
-
dba Hopehealth Dental Timmonsville School Based
- Federally Qualified Health Center (FQHC)
- Timmonsville, SC
- NPI 1609599679
-
dba HopeHealth J. Paul Truluck School-based Health Center
- Federally Qualified Health Center (FQHC)
- Lake City, SC
- NPI 1649069618
Locations
360 N Irby St
Florence, SC 29501
Phone (843) 656-0353
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hopehealth, Inc. | Operational/Managerial Control | Mar 18, 2013 | |
| Carl M Humphries | W-2 Managing Employee | Dec 12, 2012 | |
| Mark Vinson | W-2 Managing Employee | Dec 12, 2012 | |
| Angela Hilton | W-2 Managing Employee | Apr 1, 1997 |
Owners & managing parties with NPI records 22
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba HopeHealth Bethea
- Federally Qualified Health Center (FQHC)
- Darlington, SC
- NPI 1124564497
Operational/Managerial Control
-
dba HopeHealth Manning School Based Clinic
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1124627153
Operational/Managerial Control
-
dba HopeHealth Second Loop Rd
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1194322586
Operational/Managerial Control
-
dba HopeHealth Kingstree DBA Williamsburg Pharmacy
- Federally Qualified Health Center (FQHC)
- Kingstree, SC
- NPI 1316754989
Operational/Managerial Control
-
dba HopeHealth at the Manor
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1578377115
Operational/Managerial Control
-
dba Hopehealth Dental Timmonsville School Based
- Federally Qualified Health Center (FQHC)
- Timmonsville, SC
- NPI 1609599679
Operational/Managerial Control
-
dba HopeHealth J. Paul Truluck School-based Health Center
- Federally Qualified Health Center (FQHC)
- Lake City, SC
- NPI 1649069618
Operational/Managerial Control
-
dba Williamsburg Pharmacy
- Community/Retail Pharmacy
- Kingstree, SC
- NPI 1720390982
Operational/Managerial Control
-
dba HopeHealth Dental Palmetto
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1821002411
Operational/Managerial Control
-
dba HopeHealth Manning Pediatrics
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1013259712
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Lake City, SC
- NPI 1114353786
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Timmonsville, SC
- NPI 1124360136
Operational/Managerial Control
All facility ownership & control disclosures 14
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hopehealth Fmu | Federally qualified health center | Operational/Managerial Control | Jun 8, 2011 |
| Hopehealth Manning | Federally qualified health center | Operational/Managerial Control | Mar 18, 2013 |
| Hopehealth Manning Pediatrics | Federally qualified health center | Operational/Managerial Control | Mar 18, 2013 |
| Hope for the Pee Dee | Federally qualified health center | Operational/Managerial Control | Feb 1, 2016 |
| Hopehealth, Inc. | Federally qualified health center | Operational/Managerial Control | Dec 1, 2015 |
| Hopehealth, Inc. | Federally qualified health center | Operational/Managerial Control | Oct 1, 2020 |
| Hopehealth, Inc. | Federally qualified health center | Operational/Managerial Control | Sep 25, 2020 |
| Hopehealth, Inc. | Federally qualified health center | Operational/Managerial Control | Jun 4, 2021 |
| Hopehealth Pine Needles | Federally qualified health center | Operational/Managerial Control | Jul 28, 2021 |
| Hopehealth Mills Street | Federally qualified health center | Operational/Managerial Control | Jun 4, 2021 |
| Hopehealth Timmonsville School Based Health Center | Federally qualified health center | Operational/Managerial Control | Sep 9, 2022 |
| Hopehealth at the Manor | Federally qualified health center | Operational/Managerial Control | Jan 24, 2025 |
| Hopehealth Williamsburg | Federally qualified health center | Operational/Managerial Control | Jul 15, 2024 |
| Hopehealth J Paul Truluck School-Based Health Center | 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.
-
dba HopeHealth Manning School Based Clinic
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1124627153
Operational/Managerial Control
-
dba HopeHealth Second Loop Rd
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1194322586
Operational/Managerial Control
-
dba HopeHealth Kingstree DBA Williamsburg Pharmacy
- Federally Qualified Health Center (FQHC)
- Kingstree, SC
- NPI 1316754989
Operational/Managerial Control
-
dba HopeHealth at the Manor
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1578377115
Operational/Managerial Control
-
dba Hopehealth Dental Timmonsville School Based
- Federally Qualified Health Center (FQHC)
- Timmonsville, SC
- NPI 1609599679
Operational/Managerial Control
-
dba HopeHealth J. Paul Truluck School-based Health Center
- Federally Qualified Health Center (FQHC)
- Lake City, SC
- NPI 1649069618
Operational/Managerial Control
-
dba HopeHealth Manning Pediatrics
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1013259712
Operational/Managerial Control
-
dba HopeHealth Manning
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1336480300
Operational/Managerial Control
-
dba HopeHealth Pharmacy Pine Needles
- Community/Retail Pharmacy
- Florence, SC
- NPI 1164198016
Operational/Managerial Control
-
dba Hopehealth Dental Mills Street
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1225608979
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Greeleyville, SC
- NPI 1497126015
Operational/Managerial Control
-
dba HopeHealth Dental Irby
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1801271903
Operational/Managerial Control
Facilities with the same owner 14
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba HopeHealth Manning School Based Clinic
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1124627153
Hopehealth, Inc.
-
dba HopeHealth Second Loop Rd
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1194322586
Hopehealth, Inc.
-
dba HopeHealth Kingstree DBA Williamsburg Pharmacy
- Federally Qualified Health Center (FQHC)
- Kingstree, SC
- NPI 1316754989
Hopehealth, Inc.
-
dba HopeHealth at the Manor
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1578377115
Hopehealth, Inc.
-
dba Hopehealth Dental Timmonsville School Based
- Federally Qualified Health Center (FQHC)
- Timmonsville, SC
- NPI 1609599679
Hopehealth, Inc.
-
dba HopeHealth J. Paul Truluck School-based Health Center
- Federally Qualified Health Center (FQHC)
- Lake City, SC
- NPI 1649069618
Hopehealth, Inc.
-
dba HopeHealth Manning Pediatrics
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1013259712
Hopehealth, Inc.
-
dba HopeHealth Manning
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1336480300
Hopehealth, Inc.
-
dba HopeHealth Pharmacy Pine Needles
- Community/Retail Pharmacy
- Florence, SC
- NPI 1164198016
Hopehealth, Inc.
-
dba Hopehealth Dental Mills Street
- Federally Qualified Health Center (FQHC)
- Manning, SC
- NPI 1225608979
Hopehealth, Inc.
-
- Federally Qualified Health Center (FQHC)
- Greeleyville, SC
- NPI 1497126015
Hopehealth, Inc.
-
dba HopeHealth Dental Irby
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1801271903
Hopehealth, Inc.
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Pediatrics Physician
- Manning, SC
- NPI 1437391299
-
- Nurse Practitioner
- Lake City, SC
- NPI 1720629512
-
- Internal Medicine Physician
- Florence, SC
- NPI 1073585550
-
- Professional Counselor
- Lake City, SC
- NPI 1487234449
-
- Physician Assistant
- North Charleston, SC
- NPI 1619684586
-
- Clinical Social Worker
- Florence, SC
- NPI 1033620612
-
- Professional Counselor
- Florence, SC
- NPI 1932732930
-
- Registered Dietitian
- Florence, SC
- NPI 1841472347
-
- Family Medicine Physician
- Lake City, SC
- NPI 1902878572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1831442854",
"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": "148 SAULS ST STE A",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602677",
"telephone_number": "843-394-1051",
"fax_number": "843-394-0277"
}
],
"practiceLocations": [
{
"address_1": "241 Kelley St",
"address_purpose": "LOCATION",
"city": "Lake City",
"state": "SC",
"postal_code": "295602446",
"country_code": "US",
"telephone_number": "843-394-1051",
"fax_number": "843-394-0277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOPEHEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"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": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "843-656-0353"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HopeHealth Dental Lake City",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HopeHealth Lake City Sauls Street",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HopeHealth Lake City Sauls Street",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HopeHealth Lake City",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lake City, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.