Active NPI
Hennepin County
Doing business as HealthCare for the Homeless
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HENNEPIN COUNTY
- Doing business as
- HealthCare for the Homeless
- Practice address
- 525 Portland Ave # Mc963
Minneapolis, MN 55415-1533 - Phone
- (612) 348-5553
- NPI assigned
- Oct 20, 2006
- Last updated
- Jan 29, 2024
- Organization subpart
- Yes
- Parent organization
- HENNEPIN COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Abel
- Title
- Area Manager
- Phone
- (612) 348-8824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
525 Portland Ave # Mc963
Minneapolis, MN 55415-1533
Mailing address
525 Portland Ave # Mc963
Minneapolis, MN 55415-1533
Phone (612) 348-5553
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166081-D361 | Other | MN | UCARE |
| 102000000018 | Other | MN | MHP |
| 16Y28HE | Other | MN | BLUE CROSS BLUE SHIELD |
| 48-00068 | Other | MN | MEDICA |
| 69-82979 | Other | MN | EVERCARE |
| 35444 | Other | MN | HEALTHPARTNERS |
| 735854700 | Medicaid | MN |
Other names 1
- HealthCare for the Homeless
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218001012 | MN | Part B Supplier - Clinic/Group Practice | 7911892849 |
Receives reassigned benefits from 194 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Minneapolis, MN |
| O20181205002698 | MN | Part A Provider - Federally Qualified Health Center (FQHC) | 7911892849 | Practice locations: Minneapolis, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972685568. Details of each certification follow.
Federally qualified health center certification: CCN 241878
- Legal name
- HENNEPIN COUNTY
- Doing business as
- HEALTHCARE FOR THE HOMELESS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 5, 2018
- Last certification
- Dec 5, 2018
- Ownership / control type
- For profit – corporation
- Organization structure
- Government
- Incorporated
- Sep 19, 1989 in MN
- Enrollment address
- 525 Portland Ave
Mc963
Minneapolis, MN 55415-1533
Other NPIs with the same Medicare PAC ID 14
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba NorthPoint Health & Wellness- Olson Middle School
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1053729897
7911892849
-
dba NorthPoint Health & Wellness Center- Heritage Park
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1083083752
7911892849
-
dba Salvation Army Harbor Lights
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1083185193
7911892849
-
dba NorthPoint Health & Wellness Center - Workforce Center Medical
- Community Health Clinic/Center
- Minneapolis, MN
- NPI 1154774925
7911892849
-
dba NorthPoint Health & Wellness Center-North High School Based Clinic
- Student Health Clinic/Center
- Minneapolis, MN
- NPI 1205145448
7911892849
-
dba NorthPoint Health & Wellness Center- Main Clinic
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1215951751
7911892849
-
dba NorthPoint Health & Wellness Center - Franklin Middle School
- Clinic/Center
- Minneapolis, MN
- NPI 1447619929
7911892849
-
dba Catholic Charities, Higher Ground
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1619448685
7911892849
-
dba People Serving People
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1679044788
7911892849
-
dba Hennepin County Mental Health Center
- Psychiatry Physician
- Minneapolis, MN
- NPI 1780790345
7911892849
-
dba NorthPoint Health & Wellness Center- Plymouth Youth Center
- Student Health Clinic/Center
- Minneapolis, MN
- NPI 1831408988
7911892849
-
dba Youth Link
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1891266862
7911892849
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba NorthPoint Health & Wellness Center- Heritage Park
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1083083752
O20040218001012
-
dba Salvation Army Harbor Lights
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1083185193
O20040218001012
-
dba NorthPoint Health & Wellness Center - Workforce Center Medical
- Community Health Clinic/Center
- Minneapolis, MN
- NPI 1154774925
O20040218001012
-
dba NorthPoint Health & Wellness Center- Main Clinic
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1215951751
O20040218001012
-
dba Public Health Clinic
- Public Health or Welfare Agency
- Minneapolis, MN
- NPI 1295812386
O20040218001012
-
dba Branch III - Adult Opportunity Center
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1528539624
O20040218001012
-
dba Catholic Charities, Higher Ground
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1619448685
O20040218001012
-
dba People Serving People
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1679044788
O20040218001012
-
dba St. Stephen's Shelter
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1700357779
O20040218001012
-
dba Hennepin County Mental Health Center
- Psychiatry Physician
- Minneapolis, MN
- NPI 1780790345
O20040218001012
-
dba Harriet Tubman Center
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1841761954
O20040218001012
-
dba Youth Link
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1891266862
O20040218001012
National Provider Directory
National Provider Directory- Part of
- Hennepin Care - North
Locations
525 Portland Ave
#3
Minneapolis, MN 55415
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth David | Corporate Director | Sep 4, 2018 | |
| Stephanie Abel | Operational/Managerial Control | Jun 1, 2018 | |
| Bao Vang | W-2 Managing Employee | Jul 1, 2022 |
All facility ownership & control disclosures 15
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hennepin County Medical Center | Hospital | Operational/Managerial Control (100%) | Nov 29, 2006 |
| Hennepin County Medical Center | Hospital | Operational/Managerial Control (100%) | Nov 29, 2006 |
| Hennepin County Medical Center | Hospital | Operational/Managerial Control (100%) | Nov 29, 2006 |
| Mvna | Home health agency | Operational/Managerial Control (100%) | Nov 29, 2006 |
| Hennepin County | Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 1990 |
| Northpoint Health & Wellness Center | Federally qualified health center | Operational/Managerial Control | Nov 2, 2010 |
| Northpoint Pyc Clinic | Federally qualified health center | Operational/Managerial Control | Nov 2, 2010 |
| Northpoint Olson Middle School | Federally qualified health center | Operational/Managerial Control | Sep 1, 2014 |
| Northpoint Workforce Center Clinic | Federally qualified health center | Other (100%) | Jan 1, 1968 |
| Northpoint Franklin Middle School | Federally qualified health center | Other (100%) | Jan 1, 1968 |
| People Serving People | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 19, 1987 Sep 19, 1987 |
| Youthlink | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 19, 1987 Sep 19, 1977 |
| Catholic Charities Higher Ground | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 1987 |
| Salvation Army Harbor Light Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 1987 |
| Endeavors | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 19, 1987 Sep 19, 1987 |
Owned or controlled facilities with NPI records 16
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba NorthPoint Health & Wellness- Olson Middle School
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1053729897
Operational/Managerial Control
-
dba Salvation Army Harbor Lights
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1083185193
5% Or Greater Direct Ownership Interest
-
dba NorthPoint Health & Wellness Center - Workforce Center Medical
- Community Health Clinic/Center
- Minneapolis, MN
- NPI 1154774925
Other
-
dba NorthPoint Health & Wellness Center-North High School Based Clinic
- Student Health Clinic/Center
- Minneapolis, MN
- NPI 1205145448
Operational/Managerial Control
-
dba NorthPoint Health & Wellness Center- Main Clinic
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1215951751
Operational/Managerial Control
-
dba NorthPoint Health & Wellness Center - Franklin Middle School
- Clinic/Center
- Minneapolis, MN
- NPI 1447619929
Other
-
dba Catholic Charities, Higher Ground
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1619448685
5% Or Greater Direct Ownership Interest
-
dba People Serving People
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1679044788
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba NorthPoint Health & Wellness Center- Plymouth Youth Center
- Student Health Clinic/Center
- Minneapolis, MN
- NPI 1831408988
Operational/Managerial Control
-
dba Youth Link
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1891266862
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Endeavors
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1962147413
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Hennepin County Medical Center
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1619943859
-
- Adult Health Nurse Practitioner
- Minneapolis, MN
- NPI 1508255399
-
- Nurse Practitioner
- Minneapolis, MN
- NPI 1437113610
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1376212761
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1639534761
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1639542640
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1497005433
-
- Women's Health Nurse Practitioner
- Minneapolis, MN
- NPI 1205845278
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1538335146
-
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1952692204
-
- Physician Assistant
- Denver, CO
- NPI 1730294612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1972685568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 PORTLAND AVE # MC963",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151533",
"telephone_number": "612-348-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 PORTLAND AVE # MC963",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151533",
"telephone_number": "612-348-5553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENNEPIN COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HENNEPIN COUNTY",
"enumeration_date": "2006-10-20",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "ABEL",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "AREA MANAGER",
"authorized_official_telephone_number": "612-348-8824"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "166081-D361",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHP",
"identifier": "102000000018",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "16Y28HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "48-00068",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "69-82979",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "35444",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "735854700",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthCare for the Homeless",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Minneapolis, MN
- Hennepin County (Harriet Tubman Center)
- Hennepin County (Red Door Clinic)
- Hennepin County (Youth Link)
- Hennepin County (Endeavors)
- Hennepin County (Hennepin County Mental Health Center)
- Hennepin County (Simpson Shelter)
- Hennepin County Medical Center
- Hennepin County Medical Center
- Hennepin County Medical Center
- Hennepin Faculty Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.