Active NPI
Hope Street LLC
- Adult Mental Health Clinic/Center
- Las Vegas, NV
National Provider Identifier
1891312005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Hope Street LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Columbia, MD
- NPI 1689269193
-
- Psychiatric Residential Treatment Facility
- Hollywood, FL
- NPI 1790370203
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.