Organization Active NPI

Hope Alliance Health

  • Health Maintenance Organization
  • Minneapolis, MN
National Provider Identifier
1417291402
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HOPE ALLIANCE HEALTH
Practice address
1516 W Lake St Ste 106
Minneapolis, MN 55408-6600
Phone
(206) 883-0990
NPI assigned
Nov 15, 2012
Last updated
Aug 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Fardowsa M
Title
Director of Operations
Phone
(206) 883-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1516 W Lake St Ste 106
Minneapolis, MN 55408-6600

Mailing address

5901 Brooklyn Blvd Ste 202
Brooklyn Center, MN 55429-2533

National Provider Directory

National Provider Directory

Locations

1516 W Lake St
Ste 106
Minneapolis, MN 55408
Phone (206) 883-0990

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1417291402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD STE 202",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W LAKE ST STE 106",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554086600",
            "telephone_number": "206-883-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE ALLIANCE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "M",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "206-883-0990"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 8, 2016; 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.