Organization Active NPI

One Hope, LLC

  • Adult Day Care Clinic/Center
  • Clinton, MS
National Provider Identifier
1972010049
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
OH-AGENCY Issued in MS
Legal business name
ONE HOPE, LLC
Practice address
101 Auburn Dr Ste B
Clinton, MS 39056-6001
Phone
(601) 473-2160
Fax
(601) 473-2336
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Yolanda Roshelle Dixon, EDS
Title
Program Director
Phone
(601) 473-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X OH-AGENCY MS Primary

Addresses

Primary practice location

101 Auburn Dr Ste B
Clinton, MS 39056-6001

Mailing address

101 Auburn Dr Ste B
Clinton, MS 39056-6001
Phone (601) 473-2160

Other identifiers 1

IdentifierTypeStateIssuer
OH-AGENCYOtherMSTHE MS DEPARTMENT OF MENTAL HEALTH

Other names 1

  • One Hope Other name

National Provider Directory

National Provider Directory
Tax ID family
One Hope2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

101 Auburn Dr
#B
Clinton, MS 39056
Phone (601) 473-2160

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1972010049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AUBURN DR STE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390566001",
            "telephone_number": "601-473-2160",
            "fax_number": "601-473-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUBURN DR STE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390566001",
            "telephone_number": "601-473-2160",
            "fax_number": "601-473-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "ROSHELLE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "601-473-2160",
        "authorized_official_credential": "EDS"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": "OH-AGENCY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MS DEPARTMENT OF MENTAL HEALTH",
            "identifier": "OH-AGENCY",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Hope",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.