Provider Demographics
NPI:1699808584
Name:HOPE CATCHERS, LLC
Entity Type:Organization
Organization Name:HOPE CATCHERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY SUPPORT DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:BSQP
Authorized Official - Phone:910-822-3333
Mailing Address - Street 1:5843 RAMSEY ST
Mailing Address - Street 2:SUITE K AND J
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-3481
Mailing Address - Country:US
Mailing Address - Phone:910-822-3333
Mailing Address - Fax:910-822-3336
Practice Address - Street 1:5843 RAMSEY ST
Practice Address - Street 2:SUITE K AND J
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-3481
Practice Address - Country:US
Practice Address - Phone:910-822-3333
Practice Address - Fax:910-822-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301264Medicaid