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Active NPI 1114030194 Organization (Entity Type 2)

The H.o.p.e. Program

Psychiatric Residential Treatment Facility • Fountain, FL

About The H.o.p.e. Program NPI 1114030194 Summary

The H.O.P.E. Program is a verified healthcare organization specializing in Psychiatric Residential Treatment Facility operating in Fountain, FL. Located at 11712 VANDOREN LN, this facility provides patient care and medical services under National Provider Identifier (NPI) 1114030194.

Administrative operations and authorized compliance are overseen by Roxanne Martin (Administrator).

Facility Location & Contact Primary Location

Facility Address

11712 Vandoren Ln

Fountain, FL 324385262

Telephone 8507220557
Fax 8507229559

Authorized Official Information

Authorized Contact Name

Roxanne Martin

Title / Role

Administrator

Official Telephone

8507220557

Facility Classifications & Specialties

Psychiatric Residential Treatment Facility Primary Taxonomy

NUCC Taxonomy Code: 323P00000X

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11712 VANDOREN LN, FOUNTAIN, FL 324385262 (Tel: 8507220557)

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Updated Business Mailing Address July 08, 2007

Registered at 11712 VANDOREN LN, FOUNTAIN, FL 324385262 (Tel: 8507220557)

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Organization / Clinic Name Updated July 08, 2007

Operating as THE H.O.P.E. PROGRAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychiatric Residential Treatment Facility

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Initial NPI Registration & Enumeration August 16, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1114030194
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 16, 2006
Last Update: August 22, 2020

Mailing Address

11712 Vandoren Ln

Fountain, FL 324385262

Phone: 8507220557

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.