1821021023 NPI number — HYPERION FOUNDATION, INC.

Table of content: (NPI 1821021023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821021023 NPI number — HYPERION FOUNDATION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HYPERION FOUNDATION, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821021023
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
925 N POINT PKWY
Provider Second Line Business Mailing Address:
SUITE 440
Provider Business Mailing Address City Name:
ALPHARETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30005-5210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-619-0866
Provider Business Mailing Address Fax Number:
770-870-2892

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6428 U S HIGHWAY 11
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LUMBERTON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39455-7524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-619-0866
Provider Business Practice Location Address Fax Number:
770-870-2892
Provider Enumeration Date:
07/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ANSTIS
Authorized Official First Name:
LOUANN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRIVACY OFFICER
Authorized Official Telephone Number:
770-619-0866

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  351 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0023002 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com