COMMUNITY OF HOPE, INC (NPI# 1649752973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649752973 |
| Entity Type | Organization |
| Organization Name | COMMUNITY OF HOPE, INC |
| Practice Address |
4515 Babcock St Ne Palm Bay FL 32905-2824 |
| Mailing Address |
Po Box 1253 Melbourne FL 32902-1253 |
| Practice Telephone | 3214740966 |
| Practice Fax Number | 3215740799 |
| Mailing Telephone | 3214740966 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | MR. PAUL DREW WARREN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3214740966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639836 | Community of Hope, Inc | Clinic/Center | 3715 2nd St Se, Washington, DC 20032-2413 | 2018-11-29 |
| 1609346907 | Community of Hope, Inc | Clinic/Center | 425 Chesapeake St Se, Washington, DC 20032-3602 | 2018-11-29 |
| 1174093470 | Community of Hope, Inc | Clinic/Center | 1565 Morris Rd Se, Washington, DC 20020-4435 | 2018-11-29 |
| 1700356003 | Community of Hope, Inc | Clinic/Center | 4399 S Capitol Ter Sw, Washington, DC 20032-2207 | 2018-11-29 |
| 1487931465 | Community of Hope, Inc | Clinic/Center | 801 17th St Ne, Washington, DC 20002-7200 | 2011-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | COMMUNITY OF HOPE, INCORPORATED | 8 Pennywise Lane, Ledyard, CT 06339 |
| Street Address |
4515 BABCOCK ST NE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515529 | Marchalee Amoya Marshall | Case Manager/Care Coordinator | 501 Nackman Rd Nw, Palm Bay, FL 32907-2806 | 2020-07-20 |
| 1770101149 | Amma A Dewberry | Case Manager/Care Coordinator | 443 Albenga Rd Nw, Palm Bay, FL 32907-1827 | 2020-07-11 |
| 1942831961 | Nahir L Nunez | Case Manager/Care Coordinator | 770 Seymour Rd Ne, Palm Bay, FL 32905-5025 | 2020-01-29 |
| 1508418898 | Monique James | Case Manager/Care Coordinator | 1556 Shelter St Nw, Palm Bay, FL 32907-8653 | 2019-07-16 |
| 1821576224 | Jouzelie Philippi-exantus | Case Manager/Care Coordinator | 296 Paquita Cir Sw, Palm Bay, FL 32908-3402 | 2018-07-30 |
| 1740798297 | Brian Carroll Myerss | Case Manager/Care Coordinator | 1797 Pace Dr Nw, Palm Bay, FL 32907-7095 | 2018-01-18 |
| 1861907693 | Herson Ivan Guerrero Pena | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 105-106, Palm Bay, FL 32905-5161 | 2017-12-01 |
| 1679025761 | Clara Seamon | Case Manager/Care Coordinator | 131 Hammock Rd Se, Palm Bay, FL 32909-8844 | 2016-10-25 |
| 1487005237 | Cassandra Wright | Case Manager/Care Coordinator | 2147 Dr Harvey Riley St Ne Apt C, Palm Bay, FL 32905-2602 | 2016-06-23 |
| 1780032920 | Randolph Edward Allen Jr. | Case Manager/Care Coordinator | 2387 Ramsdale Dr Se, Palm Bay, FL 32909-6492 | 2016-05-27 |
| Find all providers in PALM BAY | ||||
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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.