Organization Active NPI

Hope Drug Rehabilitation LLC

  • Community/Behavioral Health Agency
  • Cross Lanes, WV
National Provider Identifier
1841774270
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOPE DRUG REHABILITATION LLC
Doing business as
Hope Drug Rehabilitation LLC
Practice address
5257 Big Tyler Rd
Cross Lanes, WV 25313-1839
Phone
(304) 881-7928
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
Dr. Jonathan Eya, PHD
Title
Admin
Phone
(304) 881-7928

Specialties & licenses 1

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

Addresses

Primary practice location

5257 Big Tyler Rd
Cross Lanes, WV 25313-1839

Mailing address

5257 Big Tyler Rd
Cross Lanes, WV 25313-1839
Phone (681) 217-1121

Other identifiers 1

IdentifierTypeStateIssuer
467OtherWVWV DEPT OF HEALTH AND HUMAN SVCS

Other names 1

  • Hope Drug Rehabilitation LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1841774270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 BIG TYLER RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131839",
            "telephone_number": "681-217-1121",
            "fax_number": "681-217-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 BIG TYLER RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131839",
            "telephone_number": "304-881-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE DRUG REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "EYA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "304-881-7928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DEPT OF HEALTH AND HUMAN SVCS",
            "identifier": "467",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Drug Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hope Drug Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cross Lanes, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.