Hope Village, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18674 Issued in MN

Legal business name

HOPE VILLAGE, LLC

Practice address

6043 Hudson Rd
Suite 372
Woodbury, MN 55125-1018

Phone

(651) 714-9171

Fax

(651) 714-9176

NPI assigned

Dec 16, 2011

Last updated

Dec 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rosella Collins-Puoch, LICSWNPI 1144531245

Title

President

Phone

(612) 669-9202

Specialties & licenses 1

Addresses

Locations

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.

• Rosella Collins-Puoch, LICSW

  • Clinical Social Worker
  • Woodbury, MN
  • NPI 1144531245
  Authorized official Same address or phone

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1548539786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD",
            "address_2": "SUITE 372",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251018",
            "telephone_number": "651-714-9171",
            "fax_number": "651-714-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD",
            "address_2": "SUITE 372",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251018",
            "telephone_number": "651-714-9171",
            "fax_number": "651-714-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS-PUOCH",
        "authorized_official_first_name": "ROSELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-669-9202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Jeramie Holter, PAC
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• Christin Holy, LICSW
• Hong Fu Home Health Care
• Linn Honken, LPC, LPCC
• Heather M Hopkins, PHARMD
• Horizon Stability Services LLC
• Derek Scott Horkey, MD
• J Horne
• Horner Family Eyecare, Inc.

• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.