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HOPE SHORES, LLC
NPI 1144855123
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Burton, MI

Active since March 10, 2020
1383 E MAPLE AVE, BURTON, MI 48529(810) 964-0412 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hope Shores, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOPE SHORES, LLC (NPI 1144855123) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Burton, Michigan and active in the NPI registry since March 2020. The organization lists Ryan Wickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1144855123
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameHOPE SHORES, LLC
Location Address1383 E MAPLE AVEBurton, MI 48529-2059
Mailing Address10242 Mckinley RdMontrose, MI 48457-9187
Phone(810) 964-0412
Organization SubpartNo
Authorized OfficialRyan WicksonOwner · (810) 964-0412
Enumeration DateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1144855123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1383 E MAPLE AVE, Burton, MI 48529
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSANA SHALON GIBSON
Community Health Worker
1383 E MAPLE AVE
BURTON, MI 48529
Genesee County (810) 422-9819
HANNAH JUNE WALDIE
Community Health Worker
1383 E MAPLE AVE
BURTON, MI 48529
Genesee County (810) 964-0412
STARLA KAYE MCCLURE
Community Health Worker
1383 E MAPLE AVE
BURTON, MI 48529
Genesee County (810) 964-0412
MICHAEL LEE HAMDEN
Community Health Worker
1383 E MAPLE AVE
BURTON, MI 48529
Genesee County (810) 964-0412
IANA MOSHAI NOAKES
Community Health Worker
1383 E MAPLE AVE
BURTON, MI 48529
Genesee County (810) 422-9819
ROBERT DARRELL WICKSON
Community Health Worker
1383 E MAPLE AVE
BURTON, MI 48529
Genesee County (810) 964-0412
DEASIA NICOLE MARVE
Community Health Worker
1383 E MAPLE AVE
BURTON, MI 48529
Genesee County (810) 964-0412
GREGORY MARTIN GREER
Community Health Worker
1383 E MAPLE AVE
BURTON, MI 48529
Genesee County (810) 964-0412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hope Shores, LLC's NPI number?

The NPI number for Hope Shores, LLC is 1144855123. It was assigned to this organization in the NPPES registry on March 10, 2020.

Where is Hope Shores, LLC located?

Hope Shores, LLC is located at 1383 E Maple Ave, Burton, MI 48529. The listed phone number is (810) 964-0412.

What is Hope Shores, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Hope Shores, LLC was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.