HEAVEN OF HOPE FOUNDATION CORPORATION (NPI# 1750938619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750938619 |
| Entity Type | Organization |
| Organization Name | HEAVEN OF HOPE FOUNDATION CORPORATION |
| Practice Address |
4416 Joe K Dr Valdosta GA 31606-2217 |
| Practice Telephone | 2295604179 |
| Mailing Telephone | 2295604179 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | TONI MILLER (CEO) |
| Authorized Official Telephone | 2295604179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 273Y00000X | Rehabilitation Unit | Hospital Units | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Heaven of Hope Foundation Corporation | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEAVEN OF HOPE FOUNDATION CORPORATION | 4416 Joe K Dr, Valdosta, GA 31606-2217 |
| Street Address |
4416 JOE K DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31606-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376761965 | Jill Ann Matney | Pharmacist | 3200 N Oak Street Ext, Valdosta, GA 31606 | 2007-04-22 |
| 1891202388 | Angela Radney | Contractor | 3975 Howell Dr, Valdosta, GA 31606-0607 | 2018-01-05 |
| 1558895961 | Henderica C Robinson | Contractor | 3605 Hillway Dr, Valdosta, GA 31606-1618 | 2017-04-12 |
| 1083805345 | Victoria Shelton | Case Manager/Care Coordinator | 3054 Shelton Rd, Valdosta, GA 31606-2480 | 2007-08-01 |
| 1104198118 | Thomas C Everett Sr. | Driver | 3599 Meadowdale Dr, Valdosta, GA 31606-9612 | 2012-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| 1124628144 | Nurturing Love Inc | Respite Care | 704 Holly Dr, Valdosta, GA 31602-3306 | 2020-10-28 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1134727316 | Veteran Housing of America | Lodging | 609 Jones St, Valdosta, GA 31601-4865 | 2020-10-11 |
| 1871190686 | Allegiant Solutions LLC | Clinical Medical Laboratory | 3312 N Oak Street Ext Ste G, Valdosta, GA 31605-1065 | 2020-10-05 |
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1962017368 | Katrina Terrell Horne | Nurse Practitioner | 15 Pinetree Cir, Valdosta, GA 31601-6256 | 2020-09-11 |
| 1861006223 | Monshita Mcdonald | Nurse Practitioner | 1523 San Bernardino Way, Valdosta, GA 31601-2511 | 2020-09-03 |
| Find all providers in VALDOSTA | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205176427 | Divine Interventions & Counseling Services LLC | Case Management | 100 N Patterson St, Suite C, Valdosta, GA 31601-5570 | 2013-02-25 |
| 1689706772 | Unihealth Solutions, Inc. | Case Management | 407 Cowart Avenue, Valdosta, GA 31602 | 2007-03-12 |
| 1982768180 | Pruitthealth Home First, Inc. | Case Management | 312 Canna Drive, Valdosta, GA 31602 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902835 | Physicans At Home, LLC | Case Management | 1850 Blackwater Dr, Marietta, GA 30066-6712 | 2020-11-05 |
| 1699374934 | Primary Health Care Resource Service, Lp | Case Management | 5405 Memorial Dr Ste 101, Stone Mountain, GA 30083-3234 | 2020-10-19 |
| 1235736182 | Think Big Youth Organization LLC | Case Management | 9784 E Oglethorpe Hwy Ste C, Midway, GA 31320-4546 | 2020-10-05 |
| 1861008344 | Forever Home Care LLP | Case Management | 337 Oakview Way, Canton, GA 30114-1805 | 2020-09-20 |
| 1013523885 | Kingdom Expressions Atl LLC | Case Management | 101 W Campbellton St, Fairburn, GA 30213-1218 | 2020-09-17 |
| 1942814959 | The Evolve Center of Counseling & Coaching | Case Management | 8509 Dunwoody Pl, Atlanta, GA 30350-3330 | 2020-09-08 |
| 1245843671 | Talent Squad, LLC | Case Management | 4004 Castle Way, Fairburn, GA 30213-4712 | 2020-08-25 |
| 1477173706 | Patientory | Case Management | 3423 Piedmont Rd Ne Ste 373, Atlanta, GA 30305-1751 | 2020-04-16 |
| 1821626516 | Created2empower Counseling Services,llc | Case Management | 1001 Virginia Ave Ste 330, Atlanta, GA 30354-1367 | 2020-03-30 |
| 1245867795 | Melissa Carol Jenkins | Case Management | 154 Hill Rd, Lyons, GA 30436-4450 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
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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.