NPIMap

Organization Active NPI

Rey of Hope Phase Program, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Princeton, NC
National Provider Identifier
1942924485
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
REY OF HOPE PHASE PROGRAM, LLC
Practice address
213 Kenbridge LN
Princeton, NC 27569-9604
Phone
(443) 673-8025
NPI assigned
Sep 28, 2022
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Jacqueline D Marion
Title
Admin
Phone
(443) 673-8025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

213 Kenbridge LN
Princeton, NC 27569-9604

Mailing address

213 Kenbridge LN
Princeton, NC 27569-9604
Phone (443) 673-8025

National Provider Directory

National Provider Directory
Tax ID family
Rey of Hope Phase Program LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942924485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 KENBRIDGE LN",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275699604",
            "telephone_number": "443-673-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 KENBRIDGE LN",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275699604",
            "telephone_number": "443-673-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REY OF HOPE PHASE PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARION",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "443-673-8025",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.