Provider Demographics
NPI:1154822294
Name:HOPE HOME CARE, LLC
Entity type:Organization
Organization Name:HOPE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HIBO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-806-5705
Mailing Address - Street 1:2800 UNIVERSITY AVE SE # 200B
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3232
Mailing Address - Country:US
Mailing Address - Phone:612-806-5705
Mailing Address - Fax:651-340-9827
Practice Address - Street 1:2800 UNIVERSITY AVE SE # 200B
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-3232
Practice Address - Country:US
Practice Address - Phone:612-806-5705
Practice Address - Fax:651-340-9827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========OtherIRS