Active NPI
Anchor of Hope Pediatric Care, LLC
- Pediatric Skilled Nursing Facility
- Waveland, MS
National Provider Identifier
1972454684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- Legal business name
- ANCHOR OF HOPE PEDIATRIC CARE, LLC
- Practice address
- 2208 McLaurin St
Waveland, MS 39576-2664 - Phone
- (228) 697-7406
- NPI assigned
- Feb 7, 2026
- Last updated
- Feb 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amanda Fennell Levens
- Title
- Owner
- Phone
- (228) 697-7406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | Primary |
Addresses
Primary practice location
2208 McLaurin St
Waveland, MS 39576-2664
Mailing address
606 Charleston LN
Long Beach, MS 39560-3911
Phone (228) 697-7406
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2345917 | Anchor of Hope Pediatric Care, LLC | Certificate of waiver | Jun 18, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770422400000",
"number": "1972454684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 CHARLESTON LN",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395603911",
"telephone_number": "228-697-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 MCLAURIN ST",
"city": "WAVELAND",
"state": "MS",
"postal_code": "395762664",
"telephone_number": "228-697-7406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHOR OF HOPE PEDIATRIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-07",
"last_updated": "2026-02-07",
"certification_date": "2026-02-07",
"status": "A",
"authorized_official_last_name": "LEVENS",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "FENNELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-697-7406",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waveland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.