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Contact Information

HOUSE OF HOPE, INC.
12 CIVIC CENTER PLAZA, SUITE 2116
MANKATO, MN56001
 Phone: 507-385-8774
 Fax: 507-345-1895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for HOUSE OF HOPE, INC.

NPI Number 1881692192
LBN Legal business name HOUSE OF HOPE, INC.
Authorized official MARK JOHNSON - (PRESIDENT / CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/11/2005
Last updated 08/24/2022 - About 4 years ago
Identifiers
MN License # 811014-1OPCD
MN Medicaid 1881692192
MN Other 8179AD BLUE CROSS BLUE SHIELD
MN Other 07AFA DAANES FACILITY CODE
MN Other 121255 UCARE PROVIDER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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