Active NPI
Hope Harbor Therapy LLC
- Early Intervention Provider Agency
- Bloomington, MN
National Provider Identifier
1003798075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Balqiis A Hersi
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Behavior Technician
- Savage, MN
- NPI 1215774328
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.