Dawn Of Hope, Inc, NPI 1053689828
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Johnson City, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1053689828 |
| NPI Entity Type | Organization |
| Provider Name | Dawn Of Hope, Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 500 E Oakland Ave, Johnson City, TN, US |
| Provider Mailing Address | P.o. Box 30, Johnson City, TN, US, 376050030 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Albert Lee Chase |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 423-434-5600 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Classification |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Group | |
| License No. | L000000008390 |
| License State | TN |
| Description | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| PSS0000000017 | UT | No | |||
| L000000008390 | TN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00137 | TN | MEDICAID | 05 |
| PSS0000000017 | TN | STATE OF TENNESSEE - DEPARTMENT OF HEALTH | 01 |
| L000000008388 | TN | STATE OF TENNESSEE - DEPARTMENT OF MENTAL HEALTH | 01 |
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