Organization Active NPI

Hallowstone Faribault Operating LLC

  • Assisted Living Facility
  • Faribault, MN
National Provider Identifier
1194695635
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HALLOWSTONE FARIBAULT OPERATING LLC
Practice address
935 Spring Rd
Faribault, MN 55021-6975
Phone
(239) 292-1513
NPI assigned
Nov 10, 2025
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Ayla Harwood
Title
Coo
Phone
(239) 292-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

935 Spring Rd
Faribault, MN 55021-6975

Mailing address

12811 Kenwood LN Ste 218
Fort Myers, FL 33907-5645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1194695635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 218",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SPRING RD",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216975",
            "telephone_number": "239-292-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLOWSTONE FARIBAULT OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "HARWOOD",
        "authorized_official_first_name": "AYLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "239-292-1513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.