Eagan Hope Wellness Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EAGAN HOPE WELLNESS SERVICES LLC

Practice address

4651 Nicols Rd Ste 206
Eagan, MN 55122-3424

Phone

(514) 522-2876

Fax

(651) 454-8328

NPI assigned

Jul 5, 2018

Organization subpart

Yes

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

Authorized official

Name

Ms. Aeysha Nmi Nur, PROVIDER

Title

Director

Phone

(651) 239-8745

Specialties & licenses 1

Addresses

Other names 1

• Eagan Hope Wellness Services LLC Doing business as

Part of

Eagan Hope Wellness Services LLC

Locations

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1982190773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 BRISTOL BLVD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551233989",
            "telephone_number": "651-239-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 NICOLS RD STE 206",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223424",
            "telephone_number": "514-522-2876",
            "fax_number": "651-454-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGAN HOPE WELLNESS SERVICES LLC",
        "organizational_subpart": "YES",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "NUR",
        "authorized_official_first_name": "AEYSHA",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-239-8745",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagan Hope Wellness Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Eagan, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• 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.