Organization
NEW HOPE PCA SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBESAY GIRMALUL (OWNER)
(651) 207-6588
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE S116, SAINT PAUL, MN 55104-2804
(651) 207-6588
Mailing address
1821 UNIVERSITY AVE W STE S116, SAINT PAUL, MN 55104-2804
(651) 207-6588
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382219
COMPREHENSIVE HOME CARE LICENSE
MN
Enumeration date
08/04/2017
Last updated
07/21/2022
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