Provider Demographics
| NPI: | 1043295934 |
|---|---|
| Name: | HOPE NETWORK BEHAVIORAL HEALTH SERVICES |
| Entity type: | Organization |
| Organization Name: | HOPE NETWORK BEHAVIORAL HEALTH SERVICES |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | COO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | TIMOTHY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BECKER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 616-301-8000 |
| Mailing Address - Street 1: | 3075 ORCHARD VISTA DR SE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GRAND RAPIDS |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 49546-7069 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 616-301-8000 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 17160 130TH AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | NUNICA |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 49448-9450 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 616-847-4460 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2005-12-13 |
| Last Update Date: | 2025-02-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | ||
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Multi-Specialty | |
| No | 175T00000X | Other Service Providers | Peer Specialist | Group - Multi-Specialty | |
| No | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 251B00000X | Agencies | Case Management | ||
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children |
