Provider Demographics
NPI:1366317877
Name:HOPE SPRINGS RENEWAL CENTER
Entity type:Organization
Organization Name:HOPE SPRINGS RENEWAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLASUNKANMI
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:ATOKI
Authorized Official - Suffix:
Authorized Official - Credentials:CPRP
Authorized Official - Phone:443-979-4793
Mailing Address - Street 1:3950 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2109
Mailing Address - Country:US
Mailing Address - Phone:240-960-7515
Mailing Address - Fax:
Practice Address - Street 1:3434 ROCKEFELLER CT UNIT 3
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2754
Practice Address - Country:US
Practice Address - Phone:443-979-4793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE SPRINGS RENEWAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-06
Last Update Date:2025-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty