NPIMap

Organization Active NPI

Regina Senior Living

  • Assisted Living Facility
  • Hastings, MN
National Provider Identifier
1083045124
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
REGINA SENIOR LIVING
Practice address
1175 Nininger Rd
Hastings, MN 55033-1056
Phone
(651) 480-4333
Fax
(651) 404-1286
NPI assigned
Nov 27, 2013
Organization subpart
Yes
Parent organization
BENEDICTINE HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Mr. Chad Ketcham
Title
Executive Director
Phone
(651) 404-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1175 Nininger Rd
Hastings, MN 55033-1056

Mailing address

1175 Nininger Rd
Hastings, MN 55033-1056
Phone (651) 480-4333

Other names 1

  • Regina Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regina Assisted Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1083045124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NININGER RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331056",
            "telephone_number": "651-480-4333",
            "fax_number": "651-404-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NININGER RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331056",
            "telephone_number": "651-480-4333",
            "fax_number": "651-404-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA SENIOR LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENEDICTINE HEALTH SYSTEM",
        "enumeration_date": "2013-11-27",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "KETCHAM",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-404-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regina Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regina Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.