HOPE YOUTH AND FAMILY SERVICES INC (NPI# 1396105599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396105599 |
| Entity Type | Organization |
| Organization Name | HOPE YOUTH AND FAMILY SERVICES INC |
| Practice Address |
170 Bastille Way Suite A Fayetteville GA 30214-7652 |
| Practice Telephone | 4045099508 |
| Mailing Telephone | 4045099508 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | DR. DEMETRIUS D ROMAN (EXECUTIVE DIRECTOR/ OWNER) |
| Authorized Official Telephone | 4045099508 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 253J00000X | Foster Care Agency | Agencies |
| Street Address |
170 BASTILLE WAY SUITE A |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871785253 | John Nathaniel Thomas | Chiropractor | 170 Bastille Way, Suite A, Fayetteville, GA 30214-7652 | 2007-08-09 |
| 1184966749 | Julia R Codrington | Counselor | 170 Bastille Way, Suite C, Fayetteville, GA 30214-7652 | 2013-03-21 |
| 1528307394 | Shereese Nicole Pearsall | Counselor | 170 Bastille Way, Fayetteville, GA 30214-7652 | 2013-02-13 |
| 1164793436 | Tere P Goodwin | Counselor | 170 Bastille Way, Suite C, Fayetteville, GA 30214-7652 | 2012-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295043917 | New Beginnings of The Carolinas | Foster Care Agency | 930 Cambridge St Ste 201, Fayetteville, NC 28303-5356 | 2010-09-15 |
| 1538482666 | Unity Home Care, Inc | Foster Care Agency | 211 Fairway Dr Ste A, Fayetteville, NC 28305-5572 | 2010-03-03 |
| 1730417437 | A Better You Foundation Inc. | Foster Care Agency | 717 Dalmore Dr, Fayetteville, NC 28311-1133 | 2009-11-18 |
| 1447395132 | Kidspeace National Centers of North America Inc | Foster Care Agency | 3035 Boone Trail Ext Ste H, Fayetteville, NC 28304-3860 | 2007-02-20 |
| 1710284369 | Provider Resource Solutions of Georgia Inc | Foster Care Agency | 101 Beckett Ln, Suite 505, Fayetteville, GA 30214-7155 | 2011-02-17 |
| 1437271228 | Ican & Associates Inc | Foster Care Agency | 6112 Louise St, Fayetteville, NC 28314-2719 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962233 | Hopeful Homes, LLC. | Foster Care Agency | 200 Pleasant Home Rd, Augusta, GA 30907-3520 | 2020-11-08 |
| 1184222440 | Passionate People Personal Care LLC | Foster Care Agency | 6660 Mableton Pkwy Se Apt 405, Mableton, GA 30126-5399 | 2020-10-09 |
| 1285107482 | Greenbriar Children's Center Inc | Foster Care Agency | 3709 Hopkins St, Savannah, GA 31405-3028 | 2019-01-10 |
| 1467846261 | From Conception To Destiny, Inc. | Foster Care Agency | 2001 Martin Luther King Jr Dr Sw Ste 229, Atlanta, GA 30310-5809 | 2015-03-19 |
| 1386037521 | Emanuel Loving Arms Residential Child Care, Inc | Foster Care Agency | 243 Sabreena Cir, Hinesville, GA 31313-8204 | 2015-03-12 |
| 1487076733 | Demetrius Battle | Foster Care Agency | 840 Gateshead Ln, Lawrenceville, GA 30043-6668 | 2014-01-06 |
| 1689095333 | Fully Corporation | Foster Care Agency | 416 Johnson Rd, Cairo, GA 39828-8414 | 2013-12-26 |
| 1992137293 | Unique Therapeutic Services | Foster Care Agency | 337 Bradley Woods Ct Nw Unit A, Lilburn, GA 30047-5931 | 2013-08-08 |
| 1316209083 | Elks Aidmore, Inc. | Foster Care Agency | 2394 Morrison Rd Sw, Conyers, GA 30094-3330 | 2012-06-08 |
| 1841514551 | Mommy N Me of Georgia Inc. | Foster Care Agency | 1376 Travers Creek Trl, Conyers, GA 30012-3585 | 2010-03-24 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.