Living Hope Second Chance Llc is a Prevention Professional based in Farmington, MN. Living Hope Second Chance Llc practices in Edina, MN. The NPI Number for Living Hope Second Chance Llc is 1306350178 and holds a License No. (Minnesota).
The current practice location address for Living Hope Second Chance Llc is 7400 Metro Blvd Ste 230, Edina, MN and can be reached out via phone at 612-203-4535 and via fax at 952-217-4427.
Location: 7400 Metro Blvd Ste 230, Edina, MN, 55024-7319
Provider Profile Details
NPI Number
1306350178
Provider Name
Living Hope Second Chance Llc
Credential
Provider Entity Type
Organization
Address
7400 Metro Blvd Ste 230, Edina, MN, 55024-7319
Phone Number
612-203-4535
Fax Number
952-217-4427
Provider Enumeration Date
11/30/2017
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306350178 | 05 | MN | |
| 1306350178 | 01 | MN | ANY HEALTHCARE RELATED IDENTIFIERS |
Provider Business Practice Location Address Details
Address
7400 Metro Blvd Ste 230
City
State
Zip
55439-2352
Phone Number
612-203-4535
Fax Number
952-217-4427
Provider Business Mailing Address Details
Address
7400 Metro Blvd Ste 230
City
State
Zip
55439-2352
Phone Number
612-203-4535
Fax Number
952-217-4427
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Local Education Agency (LEA)
Speciality
-
Taxonomy
License No.
()
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
Provider's Taxonomy Details 4
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
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).
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Home Delivered Meals
Speciality
-
Taxonomy
License No.
()
Definition
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.
Provider's Taxonomy Details 7
Type
Transportation Services
Classification
Transportation Network Company
Speciality
-
Taxonomy
License No.
()
Definition
A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology.
Provider's Taxonomy Details 8
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Provider's Taxonomy Details 9
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
Provider's Taxonomy Details 10
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
Provider's Taxonomy Details 11
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Provider's Taxonomy Details 12
Type
Other Service Providers
Classification
Prevention Professional
Speciality
-
Taxonomy
License No.
()
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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