PC Hayes Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PC HAYES MANAGEMENT LLC

Practice address

2309 Hayes St NE
Minneapolis, MN 55418-3934

Phone

(612) 781-2691

NPI assigned

Oct 9, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip Thompson

Title

Manager

Phone

(612) 781-2691

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1013515345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 PORANO CIR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 HAYES ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183934",
            "telephone_number": "612-781-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC HAYES MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-781-2691"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.