Organization Active NPI

New Hope Pca Service LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1194240770
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEW HOPE PCA SERVICE LLC
Practice address
1821 University Ave W Ste S116
Saint Paul, MN 55104-2804
Phone
(651) 207-6588
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Debesay Girmalul
Title
Owner
Phone
(651) 207-6588

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Home Delivered Meals 332U00000X
Respite Care 385H00000X

Addresses

Primary practice location

1821 University Ave W Ste S116
Saint Paul, MN 55104-2804

Mailing address

1821 University Ave W Ste S116
Saint Paul, MN 55104-2804
Phone (651) 207-6588

Other identifiers 1

IdentifierTypeStateIssuer
382219OtherMNCOMPREHENSIVE HOME CARE LICENSE

National Provider Directory

National Provider Directory

Locations

1821 University Ave W
Ste S116
Saint Paul, MN 55104
Phone (651) 207-6588

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194240770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S116",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042804",
            "telephone_number": "651-207-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S116",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042804",
            "telephone_number": "651-207-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE PCA SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIRMALUL",
        "authorized_official_first_name": "DEBESAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-207-6588"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE HOME CARE LICENSE",
            "identifier": "382219",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.