MEDICARE: HOPE HEALTH CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1851982656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	2300 E FRANKLIN AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1072
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2722 PARK AVE STE 201
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1009
Country	:	US
Telephone Number	:	612-802-0551
Fax Number	:	612-662-0435

Authorized Official
Title or Position	:	OWNER
Name	:	AASIYA GUULEED
Credential	:
Telephone Number	:	612-662-0435

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	11/07/2021

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Directions to “HOPE HEALTH CENTER LLC ” Practice Location

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