Organization
-
Active
Other names
GOODHOPE HOMES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FARHIA MOHAMED SIAD (OWNER/MANAGER)
(763) 732-2269
Entity
Organization
Contact information
Practice address
2301 16TH AVE S, MINNEAPOLIS, MN 55404-3044
(763) 732-2269
Mailing address
2301 16TH AVE S, MINNEAPOLIS, MN 55404-3044
(763) 732-2269
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
Primary
33742
MN
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386101
—
MS
Enumeration date
04/04/2018
Last updated
09/29/2018
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