Organization Active NPI

Anchor of Hope Pediatric Care, LLC

  • Pediatric Skilled Nursing Facility
  • Waveland, MS
National Provider Identifier
1972454684
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2345917Anchor of Hope Pediatric Care, LLC2208 McLaurin Street, Waveland, MS 39576Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.