HOPE HAVEN INC (NPI# 1154545663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154545663 |
| Entity Type | Organization |
| Organization Name | HOPE HAVEN INC |
| Practice Address |
3815 N Tryon St Charlotte NC 28206-2060 |
| Practice Telephone | 7043728809 |
| Mailing Telephone | 7043728809 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2018-10-30 |
| Authorized Official Name | ALICE HARRISON (CEO PRESIDENT) |
| Authorized Official Telephone | 7043728809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | MHL-060-381 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184706566 | Hope Haven Inc | Nursing Facility/Intermediate Care Facility | 1800 19th Street, Rock Valley, IA 51247 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOPE HAVEN INC | 508 Bethel St, Clover, SC 29710-1154 |
| Colorado Business Entities | Hope Haven Inc | 11752 W Layton Drive, Morrison, CO 80465 |
| Street Address |
3815 N TRYON ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073176665 | Flay Lee | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-18 |
| 1669035267 | Tina Lathan Boyer | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-18 |
| 1063075034 | Salvatore Pryor | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-16 |
| 1285197657 | Lewis Scott Carter | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-11 |
| 1962965350 | Linsey Patterson | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-11 |
| 1316400948 | Charles Hayward Samuels Jr. | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-10 |
| 1679036578 | Synovia Pettice | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-09 |
| 1407263593 | Kenetra Devonne Moore | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2014-07-21 |
| 1528474509 | Khysha Le Wise | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2014-07-10 |
| 1780962993 | Felicia Gail Thrasher | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2011-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| Find all providers in zip 28206 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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|---|---|---|---|---|
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| 1063860666 | Legacy Freedom Treatment Center | Substance Abuse Rehabilitation Facility | 4944 Parkway Plaza Blvd, Suite 300, Charlotte, NC 28217-1972 | 2016-05-25 |
| 1255793873 | Anuvia Prevention and Recovery Center | Substance Abuse Rehabilitation Facility | 8503 Parkland Cir, Apt 304, Charlotte, NC 28227-2208 | 2016-03-23 |
| 1659765782 | Veteran Enterprise Group, LLC | Substance Abuse Rehabilitation Facility | 4600 Eastwycke Place Dr, Charlotte, NC 28215-4278 | 2015-03-26 |
| 1053758102 | Legacy Treatment Center | Substance Abuse Rehabilitation Facility | 4421 Stuart Andrew Blvd, Suite 608, Charlotte, NC 28217-1589 | 2013-05-30 |
| 1073790192 | New Creations Rehabilitation Center | Substance Abuse Rehabilitation Facility | 2236 Gooseberry Rd, Charlotte, NC 28208-2598 | 2008-01-31 |
| 1154706307 | Anuvia Prevention and Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2015-07-29 |
| 1013390590 | Carter Treatment Center | Substance Abuse Rehabilitation Facility | 1904 Oroville Ct, Charlotte, NC 28214-2567 | 2015-07-02 |
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| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1609408269 | Pear Tree Peace Community Economic Development Corporation | Substance Abuse Rehabilitation Facility | 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 | 2020-02-11 |
| 1396383352 | Deerhaven Gardens, LLC. | Substance Abuse Rehabilitation Facility | 66 N Deerhaven Ln, Asheville, NC 28803-0120 | 2019-12-20 |
| 1235785726 | Eighth Month Ventures, LLC | Substance Abuse Rehabilitation Facility | 405 Franklin Blvd, Greensboro, NC 27401-4610 | 2019-08-12 |
| 1538720396 | Adaptive Interventions Group, LLC | Substance Abuse Rehabilitation Facility | 107 Robinson Dr, Cherryville, NC 28021-8100 | 2019-06-24 |
| 1356813802 | Red Oak Adolescent Recovery LLC | Substance Abuse Rehabilitation Facility | 517 Cub Creek Rd, Ellenboro, NC 28040-8733 | 2018-12-21 |
| 1144737016 | Sea Coast Recovery, LLC | Substance Abuse Rehabilitation Facility | 880 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-2600 | 2018-01-02 |
| 1689198772 | Recovery On The Ridge LLC | Substance Abuse Rehabilitation Facility | 2145 Cane Creek Rd., Fletcher, NC 28732 | 2017-07-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.