Provider Demographics
NPI:1851982656
Name:HOPE HEALTH CENTER LLC
Entity Type:Organization
Organization Name:HOPE HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AASIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUULEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-662-0435
Mailing Address - Street 1:2300 E FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1072
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2722 PARK AVE STE 201
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1009
Practice Address - Country:US
Practice Address - Phone:612-802-0551
Practice Address - Fax:612-662-0435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center