Provider Demographics
NPI:1639847148
Name:HOPE OUTREACH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:HOPE OUTREACH SOLUTIONS, LLC
Other - Org Name:HOPE OUTREACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAHOGANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-424-2386
Mailing Address - Street 1:2816 FARRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2405
Mailing Address - Country:US
Mailing Address - Phone:651-424-2386
Mailing Address - Fax:651-756-1873
Practice Address - Street 1:2816 FARRINGTON ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-2405
Practice Address - Country:US
Practice Address - Phone:651-424-2386
Practice Address - Fax:651-756-1873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)