Individual provider Active NPI

Muntaha Y Issa

  • Homemaker
  • New Hope, MN
National Provider Identifier
1851936009
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
9220 Bass Lake Rd Ste 395
New Hope, MN 55428-3110
Phone
(763) 400-6350
Fax
(763) 201-3797
NPI assigned
Nov 12, 2019
Last updated
Apr 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X MN Primary

Addresses

Primary practice location

9220 Bass Lake Rd Ste 395
New Hope, MN 55428-3110

Mailing address

9220 Bass Lake Rd Ste 395
New Hope, MN 55428-3110
Phone (763) 400-6350

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL newhopehealthcare2019@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Health Care LLC CurrentSince Apr 26, 2020 Accepting new patients

Locations

9220 Bass Lake Rd
Ste 395
New Hope, MN 55428
Phone (763) 400-6350

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1851936009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 395",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283110",
            "telephone_number": "763-400-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 395",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283110",
            "telephone_number": "763-400-6350",
            "fax_number": "763-201-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "MUNTAHA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "newhopehealthcare2019@gmail.com",
            "affiliation": "N",
            "endpointDescription": "home care",
            "address_1": "9220 Bass Lake Rd Ste 395",
            "city": "New Hope",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554283110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.