Jeremy Hover

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

HLDG22-0003 Issued in MN

Practice address

3805 Washington Ave N
Minneapolis, MN 55412-2141

Phone

(612) 248-3000

NPI assigned

Nov 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Change Place LLC

  • Lodging Provider
  • Hamel, MN
  • NPI 1568165942
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1104533413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 WASHINGTON AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122141",
            "telephone_number": "612-248-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 WASHINGTON AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122141",
            "telephone_number": "612-248-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVER",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MN",
            "license": "HLDG22-0005",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MN",
            "license": "LIC405011",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MN",
            "license": "LIC404583",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MN",
            "license": "HLDG22-0006",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MN",
            "license": "HLDG22-0007",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MN",
            "license": "HLDG22-0004",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MN",
            "license": "LIC405205",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MN",
            "license": "HLDG22-0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.behavehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cloud EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3805 Washington Ave N",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554122141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chyrdone Houssein
• Jonathan T Hovda, MD, MBA
• Danielle Claire Hoven, APRN, CNP
• Noelle Hoven, MD
• Courtney Hover, PHARM D
• Norah Hoverson, D.D.S.
• Erin Marie Hovey, D.C.
• Karen D Hovland, MA
• Charles Howald, PHARMD
• Katherine Howard Kathan, M.D.

• Lodging Provider in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Lodging Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.