Healthcare Provider Details

I. General information

NPI: 1225849862
Provider Name (Legal Business Name): HOPE CENTER FOR SENIORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 CARDINAL
FARIBAULT MN
55021-7380
US

IV. Provider business mailing address

2700 CARDINAL
FARIBAULT MN
55021-7380
US

V. Phone/Fax

Practice location:
  • Phone: 507-210-5734
  • Fax: 507-333-2154
Mailing address:
  • Phone: 507-210-5734
  • Fax: 507-333-2154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABDULLAHI ALI HUSSEIN
Title or Position: DIRECTOR
Credential:
Phone: 507-210-5734