Hope Community Support Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HOPE COMMUNITY SUPPORT SERVICES LLC

Practice address

19 Avalon Rd
Portland, ME 04103-1112

Phone

(207) 253-9625

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Nono Mapaya Mukwayanzo

Title

Ceo

Phone

(207) 253-9625

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1922756303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUNNYBROOK FARM RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094516",
            "telephone_number": "207-253-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 AVALON RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031112",
            "telephone_number": "207-253-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE COMMUNITY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "MUKWAYANZO",
        "authorized_official_first_name": "NONO",
        "authorized_official_middle_name": "MAPAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-253-9625"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Noah Homer, MD
• Stephanie A Homon, RD
• Rachel Pierantozzi Hontz, PA-C
• Elizabeth M Hood, LADC, LCPC
• Sarah K Hoops, LMSW-CC
• Hope Family Partners LLC
• Hope for All Behavioral Services LLC
• Hope for All Community Services LLC
• Hope Home Care LLC
• Hope Home Healthcare, LLC

• Community/Behavioral Health Agency in Portland, ME
• Providers in Portland, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.