NPIMap

Organization Active NPI

Twin Cities Hope and Healing Center

  • Home Health Agency
  • Blaine, MN
National Provider Identifier
1508242108
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TWIN CITIES HOPE AND HEALING CENTER
Practice address
4603 121St Ave NE
Blaine, MN 55449-7059
Phone
(703) 389-7174
NPI assigned
Aug 5, 2015
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Kaltun JamaNPI 1760299036
Title
Owner
Phone
(703) 389-7174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4603 121St Ave NE
Blaine, MN 55449-7059

Mailing address

14140 Estate Manor Dr
Gainesville, VA 20155

Other names 1

  • Twin Cities Hope and Healing Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1508242108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 ESTATE MANOR DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 121ST AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497059",
            "telephone_number": "703-389-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES HOPE AND HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "KALTUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-389-7174"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Cities Hope and Healing Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.