MEDICARE: ALL HOPES INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	311ZA0620X	Adult Care Home Facility
2	253Z00000X	In Home Supportive Care Agency
3	311Z00000X	Custodial Care Facility
4	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1225542608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL HOPES INCORPORATED

Provider Business Mailing Address
First Line	:	5549 VINEWOOD LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55442-1737
Country	:	US
Telephone Number	:	763-482-1487
Fax Number	:	763-577-4160

Provider Business Practice Location Address
First Line	:	9937 LINNET ST NW
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55433-4721
Country	:	US
Telephone Number	:	763-482-1487
Fax Number	:	763-951-2775

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VICTOR AWOSIKA
Credential	:
Telephone Number	:	763-482-1487

Provider Enumeration Date	:	11/21/2017
Last Update Date	:	03/17/2018

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Directions to “ALL HOPES INCORPORATED ” Practice Location

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