| NPI |
1982953436 |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
| Entity Type Code |
2 |
The city name in the location address of the provider being identified. |
| Employer Identification Number EIN |
|
The State code in the location of the provider
being identified. |
| Provider Organization Name Legal Business Name |
TONYA S SIMPSON |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
| Provider Other Organization Name |
HEALING HOPE HABILITATION SERVICES |
The country code in the location address of the provider being identified. |
| Provider Other Organization Name Type Code |
3 |
The telephone number associated with the location address of the provider being identified. |
| Provider First Line Business Practice Location Address |
5109 NEW MOON DR |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
| Provider Business Practice Location Address City Name |
FAYETTEVILLE |
The city name in the location address of the provider being identified. |
| Provider Business Practice Location Address State Name |
NC |
The State code in the location of the provider
being identified. |
| Provider Business Practice Location Address Postal Code |
283063515 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
| Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
| Provider Business Practice Location Address Telephone Number |
9105870116 |
The telephone number associated with the location address of the provider being identified. |
| Provider Enumeration Date |
8/30/2012 |
The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date |
4/2/2024 |
The date that a record was last updated or changed. |
| Authorized Official Last Name |
SIMPSON |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
| Authorized Official First Name |
TONYA |
The first name of the authorized official. |
| Authorized Official Middle Name |
S |
The middle name of the authorized official. |
| Authorized Official Title or Position |
OWNER |
The title or position of the authorized official. |
| Authorized Official Telephone Number |
9107092824 |
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form. |
| Healthcare Provider Taxonomy Code 1 |
101YS0200X |
Code indicating the type of identifier currently
or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form. |
| Healthcare Provider Primary Taxonomy Switch 1 |
N |
|
| Healthcare Provider Taxonomy Code 2 |
103K00000X |
|
| Healthcare Provider Primary Taxonomy Switch 2 |
Y |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
| Healthcare Provider Taxonomy Code 3 |
103TC1900X |
|
| Healthcare Provider Primary Taxonomy Switch 3 |
N |
|
| Healthcare Provider Taxonomy Code 4 |
221700000X |
|
| Healthcare Provider Primary Taxonomy Switch 4 |
N |
|
| Healthcare Provider Taxonomy Code 5 |
222Q00000X |
|
| Healthcare Provider Primary Taxonomy Switch 5 |
N |
|
| Healthcare Provider Taxonomy Code 6 |
225X00000X |
|
| Healthcare Provider Primary Taxonomy Switch 6 |
N |
|
| Healthcare Provider Taxonomy Code 7 |
225XP0200X |
|
| Healthcare Provider Primary Taxonomy Switch 7 |
N |
|
| Healthcare Provider Taxonomy Code 8 |
226300000X |
|
| Healthcare Provider Primary Taxonomy Switch 8 |
N |
|
| Healthcare Provider Taxonomy Code 9 |
235Z00000X |
|
| Healthcare Provider Primary Taxonomy Switch 9 |
N |
|
| Healthcare Provider Taxonomy Code 10 |
332B00000X |
|
| Healthcare Provider Primary Taxonomy Switch 10 |
N |
|
| Healthcare Provider Taxonomy Code 11 |
332BC3200X |
|
| Healthcare Provider Primary Taxonomy Switch 11 |
N |
|
| Healthcare Provider Taxonomy Code 12 |
332BN1400X |
|
| Healthcare Provider Primary Taxonomy Switch 12 |
N |
|
| Healthcare Provider Taxonomy Code 13 |
332BP3500X |
|
| Healthcare Provider Primary Taxonomy Switch 13 |
N |
|
| Healthcare Provider Taxonomy Code 14 |
332BX2000X |
|
| Healthcare Provider Primary Taxonomy Switch 14 |
N |
|
| Healthcare Provider Taxonomy Code 15 |
332U00000X |
|
| Healthcare Provider Primary Taxonomy Switch 15 |
N |
|
| Is Organization Subpart |
N |
|
| Authorized Official Name Prefix Text |
MS. |
|
| Healthcare Provider Taxonomy Group 1 |
193200000X MULTI-SPECIALTY GROUP |
|
| Healthcare Provider Taxonomy Group 2 |
193200000X MULTI-SPECIALTY GROUP |
|
| Healthcare Provider Taxonomy Group 3 |
193200000X MULTI-SPECIALTY GROUP |
|
| Healthcare Provider Taxonomy Group 4 |
193200000X MULTI-SPECIALTY GROUP |
|
| Healthcare Provider Taxonomy Group 5 |
193200000X MULTI-SPECIALTY GROUP |
|
| Healthcare Provider Taxonomy Group 6 |
193200000X MULTI-SPECIALTY GROUP |
|
| Healthcare Provider Taxonomy Group 7 |
193200000X MULTI-SPECIALTY GROUP |
|
| Healthcare Provider Taxonomy Group 8 |
193200000X MULTI-SPECIALTY GROUP |
|
| Healthcare Provider Taxonomy Group 9 |
193200000X MULTI-SPECIALTY GROUP |
|
| NPI Certification Date |
4/2/2024 |
|