Organization Active NPI

Live Learn Hope Services

  • Point of Service
  • Minneapolis, MN
National Provider Identifier
1376258830
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
LIVE LEARN HOPE SERVICES
Practice address
5551 34TH Ave S
Minneapolis, MN 55417-2117
Phone
(612) 217-7199
Fax
(612) 545-3368
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Ms. Terrisa Lee Young
Title
Owner/ Manager
Phone
(520) 771-7815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

5551 34TH Ave S
Minneapolis, MN 55417-2117

Mailing address

940 E Brooke PL
Avondale, AZ 85323-2439
Phone (520) 771-7815

Other identifiers 1

IdentifierTypeStateIssuer
A478492500MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1376258830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E BROOKE PL",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853232439",
            "telephone_number": "520-771-7815",
            "fax_number": "612-545-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 34TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172117",
            "telephone_number": "612-217-7199",
            "fax_number": "612-545-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LEARN HOPE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TERRISA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "520-771-7815",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A478492500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • 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.