Re-Establishing Hope LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RE-ESTABLISHING HOPE LLC

Practice address

1947 S Sprague Ave
Tacoma, WA 98405-2814

Phone

(253) 495-3983

NPI assigned

Nov 10, 2022

Organization subpart

No

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

Authorized official

Name

Collis Devon Malloy

Title

Executive Officer

Phone

(253) 495-3983

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1902514771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 S SPRAGUE AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052814",
            "telephone_number": "253-495-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 S SPRAGUE AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052814",
            "telephone_number": "253-495-3983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2136 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984053838",
            "country_code": "US",
            "telephone_number": "253-495-3983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RE-ESTABLISHING HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "COLLIS",
        "authorized_official_middle_name": "DEVON",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "253-495-3983"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "collismalloy@reestablishinghope.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1947 S Sprague Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984052814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.