Healthcare Provider Details

I. General information

NPI: 1356773618
Provider Name (Legal Business Name): PORT OF HOPE CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2013
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 E FLORIDA AVE
NAMPA ID
83686-5823
US

IV. Provider business mailing address

508 E FLORIDA AVE
NAMPA ID
83686-5823
US

V. Phone/Fax

Practice location:
  • Phone: 208-463-0118
  • Fax: 208-463-1507
Mailing address:
  • Phone: 208-463-0118
  • Fax: 208-463-1507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BARRY HOGAN MEYERS
Title or Position: PRESIDENT/CEO
Credential: CADC/CCS
Phone: 208-463-0118