Provider Demographics
NPI:1649625435
Name:HILLTOP CARE SERVICES
Entity type:Organization
Organization Name:HILLTOP CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHUAIB
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-707-7469
Mailing Address - Street 1:1113 E FRANKLIN AVE
Mailing Address - Street 2:SUITE A211
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2974
Mailing Address - Country:US
Mailing Address - Phone:612-707-7469
Mailing Address - Fax:
Practice Address - Street 1:1113 E FRANKLIN AVE
Practice Address - Street 2:SUITE A211
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2974
Practice Address - Country:US
Practice Address - Phone:612-707-7469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services