1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Hospice Care Community Based
  6. NPI Profile

HENNEPIN HEALTHCARE HOSPICE
NPI 1639543036
Hospice Care, Community Based in Minneapolis, MN

Active since November 23, 2015
2000 SUMMER ST NE, SUITE 100, MINNEAPOLIS, MN 55413(763) 531-2424(763) 531-2422 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2022, Oct 28, 2020, Oct 2, 2020 and 3 more (6 updates tracked since 2015).

About Hennepin Healthcare Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENNEPIN HEALTHCARE HOSPICE (NPI 1639543036) is a healthcare organization registered as a hospice care, community based in Minneapolis, Minnesota and active in the NPI registry since November 2015. The organization lists Derrick Hollings, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639543036
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHENNEPIN HEALTHCARE SYSTEM, INC
Location Address2000 SUMMER ST NE, SUITE 100Minneapolis, MN 55413-2648
Mailing Address701 Park Ave, P1-financeMinneapolis, MN 55415-1623 · (612) 873-3000 · Fax (612) 904-4259
Phone(763) 531-2424
Fax(763) 531-2422
Organization SubpartYes
Authorized OfficialDerrick HollingsCfo · (612) 873-5340
Enumeration DateNovember 23, 2015
Last NPPES UpdateDecember 7, 20226 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1639543036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in MN · 369767
2000 SUMMER ST NE, Minneapolis, MN 55413
Open in Google Maps ↗

Other Names 1

Doing Business AsHennepin Healthcare Hospice

Other Identifiers 1

Medicaid194092900MN

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 24D0401655

Hennepin Healthcare-Whittier Clinic · Minneapolis, MN
Active · expires Nov 30, 2027
CLIA Number24D0401655
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Sarah Drawz
Laboratory Phone(612) 873-7990
Laboratory LocationHennepin Healthcare-Whittier Clinic2810 Nicollet Avenue, Minneapolis, MN 55408
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 24D2093747

Hennepin Healthcare Research Institute · Minneapolis, MN
Active · expires Apr 2, 2027
CLIA Number24D2093747
Laboratory TypeResearch Lab Within A Cli
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorJason V. Baker
Laboratory Phone(612) 873-7678
Laboratory LocationHennepin Healthcare Research Institute915 South 7th Street B1 262, Minneapolis, MN 55415
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA ENDRES-SPRAY RN PHN MA
Registered Nurse (Home Health)
2000 SUMMER ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 661-7462
NANCY HICKERSON BSRN, PHN
Registered Nurse
2000 SUMMER ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 617-4600

Frequently Asked Questions

What is HENNEPIN HEALTHCARE SYSTEM, INC's NPI number?

The NPI number assigned to this healthcare provider is 1639543036, enumerated as an "organization" on November 23, 2015.

Where is the provider located?

The provider is located at 2000 SUMMER ST NE SUITE 100 MINNEAPOLIS, MN 55413 and the phone number is (763) 531-2424.

What is the provider's specialty?

Hospice Care, Community Based with taxonomy code 251G00000X.

What insurance does HENNEPIN HEALTHCARE SYSTEM, INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.