Healthcare Provider Details

I. General information

NPI: 1003778408
Provider Name (Legal Business Name): NEW HOPE HELPING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16555 62ND ST NE
OTSEGO MN
55330-6431
US

IV. Provider business mailing address

16555 62ND ST NE
OTSEGO MN
55330-6431
US

V. Phone/Fax

Practice location:
  • Phone: 763-742-0314
  • Fax:
Mailing address:
  • Phone: 763-742-0314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LAURIE D KPOWAIYEE
Title or Position: OWNER/AUTHORIZED AGENT
Credential: BSN
Phone: 763-742-0314