Provider Demographics
NPI:1710704119
Name:LIVING HOPE HOMES LLC
Entity type:Organization
Organization Name:LIVING HOPE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SADIA
Authorized Official - Middle Name:OSMAN
Authorized Official - Last Name:EGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-701-9410
Mailing Address - Street 1:18189 GLENBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-2011
Mailing Address - Country:US
Mailing Address - Phone:612-701-9410
Mailing Address - Fax:
Practice Address - Street 1:18189 GLENBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-2011
Practice Address - Country:US
Practice Address - Phone:612-701-9410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility