Muntaha Y Issa
Individual provider Active NPI Homemaker · New Hope, MN
NPI 1851936009 · NPPES record last updated Apr 16, 2020
Key facts
- NPI
- 1851936009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Health Care LLC | Current |
Accepting new patients |
Locations
9220 Bass Lake Rd
Ste 395
New Hope, MN 55428
Phone (763) 400-6350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | MN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-3654226 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | newhopehealthcare2019@gmail.com |
Other providers in New Hope, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.