Provider Demographics
NPI:1407074735
Name:HOPELAND CARE SERVICES INC.
Entity Type:Organization
Organization Name:HOPELAND CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCKY
Authorized Official - Middle Name:EJEOVO
Authorized Official - Last Name:EWEFADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-390-6785
Mailing Address - Street 1:5701 KENTUCKY AVE N STE 194
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55428-3370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5701 KENTUCKY AVE N STE 194
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55428-3370
Practice Address - Country:US
Practice Address - Phone:763-390-6785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health