NPI Code Detail JSON Logo

1649158387 NPI number — ANITA'S HOUSE OF HOPE LLC

NPI Number: 1649158387
Health Care Provider/Practitioner: ANITA'S HOUSE OF HOPE LLC

Information about “1649158387” NPI (ANITA'S HOUSE OF HOPE LLC) exists in 1649158387 in HTML format HTML  |  1649158387 in plain Text format TXT  |  1649158387 in PDF (Portable Document Format) PDF  |  1649158387 in an XML format XML  formats.

NPI Number : 1649158387 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649158387",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANITA'S HOUSE OF HOPE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 16",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MC LEANSVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27301-0016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "888-508-6711",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "614 DOUGLAS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENSBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27406-1709",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-508-6711",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2025",
    "LastUpdateDate": "10/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GARY",
    "AuthorizedOfficialFirstName": "PORCHA",
    "AuthorizedOfficialMiddleName": "MOORE",
    "AuthorizedOfficialTitle": "FOUNDER/CEO",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "336-580-9836",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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