Hopeville Homes Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOPEVILLE HOMES HEALTHCARE SERVICES LLC

Doing business as

Hopeville Homes

Practice address

11330 Florida Ave N
Champlin, MN 55316-3390

Phone

(763) 843-8850

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Wallace Smith Jr.

Title

Ceo/Administrator

Phone

(763) 843-8850

Specialties & licenses 1

Addresses

Other names 1

• Hopeville Homes Doing business as

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1053956672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 FLORIDA AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163390",
            "telephone_number": "763-843-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 FLORIDA AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163390",
            "telephone_number": "763-843-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEVILLE HOMES HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "763-843-8850",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopeville Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna L Hinrichs, RN
• Madison Hirn, DDS
• Docia Ann Hogan, DDS
• Byron C Holth, MD
• Hopegrows Behavioral Health
• Allison R Hotujec, MD
• Gretchen Renee Hubble, M.A., LMFT
• Kathleen O. Hubert, D.D.S.
• Ibf Transport LLC
• Hannan Omar Ibrahim

• Home Health Agency in Champlin, MN
• Providers in Champlin, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.