Provider Demographics
NPI:1801444344
Name:HOPE ASSITED LIVING LLC
Entity type:Organization
Organization Name:HOPE ASSITED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAED
Authorized Official - Middle Name:O
Authorized Official - Last Name:DALMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-208-0901
Mailing Address - Street 1:1942 WASHBURN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2327
Mailing Address - Country:US
Mailing Address - Phone:651-283-9621
Mailing Address - Fax:763-208-1285
Practice Address - Street 1:1942 WASHBURN AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2327
Practice Address - Country:US
Practice Address - Phone:651-283-9621
Practice Address - Fax:763-208-1285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility