Provider Demographics
NPI:1124816236
Name:HOPEFUL HORIZONS LLC
Entity type:Organization
Organization Name:HOPEFUL HORIZONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDULAZIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BERENTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-222-2817
Mailing Address - Street 1:1710 DOUGLAS DR N STE 225E
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4363
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1710 DOUGLAS DR N STE 225E
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4363
Practice Address - Country:US
Practice Address - Phone:612-222-2817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency