Provider Demographics
NPI:1619292521
Name:HOPE SPECIALTY HEALTHCARE
Entity Type:Organization
Organization Name:HOPE SPECIALTY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAY
Authorized Official - Middle Name:HOUA
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-808-5907
Mailing Address - Street 1:422 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1962
Mailing Address - Country:US
Mailing Address - Phone:651-287-7934
Mailing Address - Fax:651-287-7934
Practice Address - Street 1:18255 83RD AVE N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-1763
Practice Address - Country:US
Practice Address - Phone:651-808-5907
Practice Address - Fax:651-898-3641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-03
Last Update Date:2010-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346638310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility