LIVING HOPE SECOND CHANCE LLC (NPI# 1306350178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306350178 |
| Entity Type | Organization |
| Organization Name | LIVING HOPE SECOND CHANCE LLC |
| Practice Address |
227 Colfax Ave N Ste 15 Minneapolis MN 55405-1409 |
| Mailing Address |
4106 Skylark Ln Eagan MN 55122-1727 |
| Practice Telephone | 6512527260 |
| Mailing Telephone | 6512527260 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | NAVELL ANNETTE TOWNLEY (OWNER) |
| Authorized Official Telephone | 6512527260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 405300000X | Prevention Professional | Other Service Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
227 COLFAX AVE N STE 15 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55405-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821423740 | Aja Dionna King | Counselor | 227 Colfax Ave N Ste 15, Minneapolis, MN 55405 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1033673967 | Amy Fitzgerald | Counselor | 2915 South Wayzata Boulevard, Minneapolis, MN 55405 | 2019-01-24 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1154786523 | Sophia Bouwens | Acupuncturist | 275 Market St Ste 409, Minneapolis, MN 55405 | 2015-12-29 |
| 1912362732 | Anna Needham | Acupuncturist | 2200 Hennepin Ave S, Minneapolis, MN 55405 | 2015-12-21 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1396022117 | Sharri Peterson Rogers | Marriage & Family Therapist | 2809 South Wayzata Blvd, Minneapolis, MN 55405 | 2011-11-08 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| 1295062206 | Jason Patrick Nummi | Chiropractor | 1010 2nd Avenue North, Minneapolis, MN 55405 | 2009-11-11 |
| Find all providers in zip 55405 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1396248225 | Wraparound House Calls, LLC | Clinic/Center | 4945 1st Ave S, Minneapolis, MN 55419-5605 | 2018-03-16 |
| 1154774925 | Hennepin County | Clinic/Center | 800 W Broadway Ave, Minneapolis, MN 55411-2614 | 2016-07-18 |
| 1467827733 | Global Translation & Interpreter LLC | Clinic/Center | 913 E Franklin Ave # 206, Minneapolis, MN 55404-2918 | 2015-12-11 |
| 1174950307 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 7101 Metro Blvd, Minneapolis, MN 55439-2117 | 2013-10-02 |
| 1962755108 | Cvc Minnesota Physicians, Pa | Clinic/Center | 730 2nd Ave S, Suite 295, Baker Center, Minneapolis, MN 55402-3400 | 2012-10-25 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1295960557 | Newsense, Ltd. | Clinic/Center | 1730 Clifton Pl, 111, Minneapolis, MN 55403-3242 | 2009-05-15 |
| 1124274527 | University of Minnesota Physicians | Clinic/Center | 901 Second St S, Suite A, Minneapolis, MN 55415 | 2008-08-18 |
| 1437345428 | Lakes Center for Chiropractic P.a. | Clinic/Center | 2526 Hennepin Ave S, Minneapolis, MN 55405-3564 | 2007-09-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55405 |
Please comment or provide details below to improve the information on LIVING HOPE SECOND CHANCE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.