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HOUSE OF HOPE ASSISTED LIVING LLC NPI 1043818420


NPI Information

NPI: 1043818420
Provider Name: HOUSE OF HOPE ASSISTED LIVING LLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
2129 SUMMERTIME DR APT 2609
CHARLOTTE, NC
ZIP 28262
Phone: (704) 615-2653
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HOUSE OF HOPE ASSISTED LIVING LLC is an assisted living and mental illness assisted living facility in Charlotte, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. HOUSE OF HOPE ASSISTED LIVING LLC NPI is 1043818420. The provider is registered as an organization entity type.

The provider's business location address is:

2129 SUMMERTIME DR APT 2609
CHARLOTTE, NC
ZIP 28262-626
Phone: (704) 615-2653

The provider's authorized official is Antwon Freeman .
The authorized official title is Owner and has the following contact phone number (704) 615-2653.

The enumeration date for this NPI number is 10/16/2020 and was last updated on 10/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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