NPIMap

Organization Active NPI

Hope Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Westmoreland, TN
National Provider Identifier
1942337183
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOPE FAMILY HEALTH SERVICES
Practice address
1124 New Highway 52 E
Westmoreland, TN 37186-5060
Phone
(615) 644-2000
Fax
(615) 644-2078
NPI assigned
Feb 27, 2007
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Jennifer G Dittes, PA-CNPI 1154493237
Title
Executive Director
Phone
(615) 644-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X TN Primary
Multi-Specialty Clinic/Center 261QM1300X
Radiology Clinic/Center 261QR0200X
Physician Assistant 363A00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
General Practice Dentistry 1223G0001X

Addresses

Primary practice location

1124 New Highway 52 E
Westmoreland, TN 37186-5060

Mailing address

12124 Highway 52 W
Westmoreland, TN 37186-5063
Phone (615) 644-2000

Other practice location 1

1005B Union School Rd
Gallatin, TN 37066-2084
Phone (615) 644-4746

Other practice location 2

10427 New Hwy 52 West
Westmoreland, TN 37186
Phone (615) 644-2000

Other practice location 3

300 Steam Plant Rd Ste 420
Gallatin, TN 37066-3017
Phone (615) 644-2000

Other identifiers 1

IdentifierTypeStateIssuer
3728716MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050317000093 TN Part B Supplier - Clinic/Group Practice 1658326194 Receives reassigned benefits from 26 practitioners
Practice locations: Gallatin, TN; Westmoreland, TN; Westmorland, TN
O20130201000284 TN Part A Provider - Federally Qualified Health Center (FQHC) 1658326194 Practice locations: Westmoreland, TN
O20150122002635 TN Part A Provider - Federally Qualified Health Center (FQHC) 1658326194 Practice locations: Westmoreland, TN
O20231115000108 TN Part A Provider - Federally Qualified Health Center (FQHC) 1658326194 Practice locations: Gallatin, TN

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1942337183. Details of each certification follow.

Federally qualified health center certification: CCN 441955

Legal name
HOPE FAMILY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 30, 2012
Last certification
Aug 30, 2012
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Nov 15, 2004 in TN
Enrollment address
1124 New Highway 52 E
Westmoreland, TN 37186-5060

Federally qualified health center certification: CCN 441965

Legal name
HOPE FAMILY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 22, 2015
Last certification
Jan 22, 2015
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jan 3, 2005 in TN
Enrollment address
10427 New Highway 52 W
Westmoreland, TN 37186

Federally qualified health center certification: CCN 441022

Legal name
HOPE FAMILY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 13, 2023
Last certification
Oct 13, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jan 3, 2005 in TN
Enrollment address
300 Steam Plant Rd
Ste 210
Gallatin, TN 37066-3060

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

300 Steam Plant Rd
Ste 210
Gallatin, TN 37066
Phone (615) 328-3700

1124 New Highway 52 E
Ste 420
Westmoreland, TN 37186

12124 Highway 52 W
#5
Westmoreland, TN 37186
Phone (615) 644-2000

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kei Keene Individual Corporate OfficerTreasurer Jun 28, 2013
Cynthia Templeton Individual Corporate OfficerVice Chair Dec 1, 2007
Corporate OfficerVice Chair Jun 14, 2007
Daniel Jemenez Individual Corporate OfficerBoard Member Nov 15, 2023
Richard Melke Individual Corporate OfficerCfo Aug 1, 2025
W-2 Managing EmployeeCfo Aug 1, 2025
Corporate DirectorCfo Oct 26, 2021
Corporate DirectorCfo Aug 1, 2025
Derrick Jackson Individual Corporate OfficerBoard Member Jan 24, 2024
Jacqueline Robertson Individual Corporate OfficerBoard Member Aug 23, 2023
Magen Mullinix Individual Corporate OfficerBoard Member May 28, 2025
Brain Woodall Individual Corporate OfficerBoard Member May 28, 2025
Brad Tuttle Individual Corporate OfficerChair Feb 26, 2014
Corporate OfficerChair Oct 1, 2013
David Flynn Individual Corporate DirectorBoard Member Apr 6, 2023
Corporate OfficerBoard Member Apr 6, 2023
Corporate OfficerBoard Member Jun 28, 2023
Mae Wright Individual Corporate OfficerBoard Member Nov 16, 2023
Lauren Houser Smith Individual Corporate OfficerCeo Sep 20, 2025
W-2 Managing EmployeeCeo Sep 20, 2025
Operational/Managerial ControlCeo Sep 20, 2025
Corporate DirectorCeo Sep 20, 2025
W-2 Managing Employee Sep 20, 2025
Rod Harkleroad Individual Corporate OfficerBoard Member May 28, 2025
Christopher Ford Individual Corporate OfficerSecretary Apr 27, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1942337183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 HIGHWAY 52 W",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "371865063",
            "telephone_number": "615-644-2000",
            "fax_number": "615-644-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 NEW HIGHWAY 52 E",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "371865060",
            "telephone_number": "615-644-2000",
            "fax_number": "615-644-2078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005B Union School Rd",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370662084",
            "country_code": "US",
            "telephone_number": "615-644-4746",
            "fax_number": "615-644-2078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10427 New Hwy 52 West",
            "address_purpose": "LOCATION",
            "city": "Westmoreland",
            "state": "TN",
            "postal_code": "37186",
            "country_code": "US",
            "telephone_number": "615-644-2000",
            "fax_number": "615-644-2078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Steam Plant Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663017",
            "country_code": "US",
            "telephone_number": "615-644-2000",
            "fax_number": "615-644-2078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE FAMILY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "DITTES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-644-2000",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728716",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmoreland, TN

Sources for this page

Verify at the official NPI Registry.