Organization Active NPI

Hope Street LLC

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1891312005
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HOPE STREET LLC
Practice address
4465 S Buffalo Dr Ste B
Las Vegas, NV 89147-5006
Phone
(732) 785-4673
NPI assigned
Jul 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Alan Bond
Title
Cfo
Phone
(310) 774-1303

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

4465 S Buffalo Dr Ste B
Las Vegas, NV 89147-5006

Mailing address

4465 S Buffalo Dr Ste B
Las Vegas, NV 89147-5006

Other practice location 1

770 Howes Lane Suite #F
Attn: Mendi Baron
Columbia, MD 21044-8914
Phone (310) 721-6447

Other practice location 2

2341 Hollywood Blvd
Hollywood, FL 33020-6708
Phone (310) 721-6447

Other names 1

  • Hope Street LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hope Street LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4465 S Buffalo Dr
Ste B
Las Vegas, NV 89147
Phone (732) 785-4673

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1891312005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 S BUFFALO DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 S BUFFALO DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475006",
            "telephone_number": "732-785-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Howes Lane Suite #F",
            "address_2": "Attn: Mendi Baron",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210448914",
            "country_code": "US",
            "telephone_number": "310-721-6447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2341 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330206708",
            "country_code": "US",
            "telephone_number": "310-721-6447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-774-1303"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Street LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.