Organization · Type 2 NPI

State of Minnesota-Minnesota Management and Budget

Assisted Living Facility · Hastings, MN

NPI number 1508165457 Active

Practice location

1200 18th St E
Hastings, MN 55033-3680

Call (651) 438-8500 Map

Mailing address

5101 Minnehaha Ave Bldg 10
Minneapolis, MN 55417-1647

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed
Assisted Living Facility (Mental Illness)	3104A0625X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

5 other providers at this address

Other assisted living facility providers in Hastings

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NPI record

NPI: 1508165457
Entity type: Organization (Type 2)
Issued: Mar 17, 2011
Last updated: Mar 19, 2019
Status: Active
Subpart: Yes of State of Minnesota-Minnesota Management and Budget

Other names

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Minnesota Veterans Home - Hastings Domiciliary · doing business as
Veterans Home · other name

Authorized official

Mary Elizabeth Johnson
Central Pharmacy, Pharmacist Senior
(612) 548-5962

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508165457

State of Minnesota-Minnesota Management and Budget's National Provider Identifier is 1508165457, issued on Mar 17, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Hastings, MN. The record was last updated on Mar 19, 2019.