Hillhaven LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1033369-7-AFC Issued in MN

Legal business name

HILLHAVEN LLC

Practice address

1683 E. Hwy 61
Grand Marais, MN 55604-0179

Phone

(218) 387-9119

Fax

(218) 387-9561

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Rebecca Stoner

Title

Owner / Operator

Phone

(218) 387-9119

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1225469828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556040179",
            "telephone_number": "218-387-9119",
            "fax_number": "218-387-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 E. HWY 61",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556040179",
            "telephone_number": "218-387-9119",
            "fax_number": "218-387-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLHAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "218-387-9119"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1033369-7-AFC",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1059619-1-AFC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in Grand Marais, MN
• Providers in Grand Marais, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.