Active NPI
Carolina Hope Behavioral Health LLC
- Community/Behavioral Health Agency
- Fayetteville, NC
National Provider Identifier
1861300147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CAROLINA HOPE BEHAVIORAL HEALTH LLC
- Practice address
- 2112 Skibo Rd
Fayetteville, NC 28314-0233 - Phone
- (910) 734-0758
- NPI assigned
- Aug 28, 2026
- 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
- Justin Storm Jacobs
- Title
- Owner
- Phone
- (910) 734-0758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2112 Skibo Rd
Fayetteville, NC 28314-0233
Mailing address
2112 Skibo Rd
Fayetteville, NC 28314-0233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1861300147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 SKIBO RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 SKIBO RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140233",
"telephone_number": "910-734-0758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HOPE BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "STORM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-734-0758"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
- Carolina Footcare, PLLC
- Carolina Health Associates PC
- Carolina Health Care Center of Cumberland County, LP
- Carolina Heart Physicians PLLC
- Carolina Homehealth Agency LLC
- Carolina Imaging LLC of Fayetteville
- Carolina Imaging LLC of Fayetteville
- Carolina Imaging LLC of Fayetteville
- Carolina Kidney Care, PA
- Carolina Medical Specialties, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.