Provider Demographics
NPI:1346664091
Name:FAMILY CONNECTION, INC.
Entity Type:Organization
Organization Name:FAMILY CONNECTION, INC.
Other - Org Name:HOPE HILL YOUTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALA
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:859-497-0628
Mailing Address - Street 1:PO BOX 257
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-0257
Mailing Address - Country:US
Mailing Address - Phone:859-497-0628
Mailing Address - Fax:859-497-0897
Practice Address - Street 1:700 HOPE HILL RD
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:KY
Practice Address - Zip Code:40334-7002
Practice Address - Country:US
Practice Address - Phone:859-497-0628
Practice Address - Fax:859-497-0897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 251S00000X
KY39041041C0700X
KY35141041C0700X
KY500029322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100292100Medicaid