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1346053865 NPI number — STONEHAVEN ALF, LLC

NPI Number: 1346053865
Health Care Provider/Practitioner: STONEHAVEN ALF, LLC

Information about “1346053865” NPI (STONEHAVEN ALF, LLC) exists in 1346053865 in HTML format HTML  |  1346053865 in plain Text format TXT  |  1346053865 in PDF (Portable Document Format) PDF  |  1346053865 in an XML format XML  formats.

NPI Number : 1346053865 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346053865",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "STONEHAVEN ALF, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1107 HAZELTINE BLVD STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHASKA",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55318-1070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-361-8000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 STATION TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAGAN",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55123-3101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "651-686-4366",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2025",
    "LastUpdateDate": "01/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BENSON",
    "AuthorizedOfficialFirstName": "RANDALL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "TREASURER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "952-361-8000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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