Organization Active NPI

Hope Harbor Therapy LLC

  • Early Intervention Provider Agency
  • Bloomington, MN
National Provider Identifier
1003798075
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
HOPE HARBOR THERAPY LLC
Practice address
8609 Lyndale Ave S Ste 222
Bloomington, MN 55420-2745
Phone
(952) 583-0330
Fax
(651) 461-9366
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Balqiis A HersiNPI 1215774328
Title
Manager
Phone
(952) 583-0330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

8609 Lyndale Ave S Ste 222
Bloomington, MN 55420-2745

Mailing address

8609 Lyndale Ave S Ste 222
Bloomington, MN 55420-2745
Phone (952) 583-0330

National Provider Directory

National Provider Directory

Locations

8609 Lyndale Ave S
Ste 222
Bloomington, MN 55420
Phone (952) 583-0330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1003798075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S STE 222",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202745",
            "telephone_number": "952-583-0330",
            "fax_number": "651-461-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S STE 222",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202745",
            "telephone_number": "952-583-0330",
            "fax_number": "651-461-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HARBOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "BALQIIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "952-583-0330"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.