Organization Active NPI

Stonehaven Alf, LLC

  • Assisted Living Facility
  • Eagan, MN
National Provider Identifier
1346053865
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
STONEHAVEN ALF, LLC
Practice address
1000 Station TRL
Eagan, MN 55123-3101
Phone
(651) 686-4366
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Randall Benson
Title
Treasurer
Phone
(952) 361-8000

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Station TRL
Eagan, MN 55123-3101

Mailing address

1107 Hazeltine Blvd Ste 200
Chaska, MN 55318-1070
Phone (952) 361-8000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2326143Stonehaven Alf, LLC1000 Station Trail, Eagan, MN 55123Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory

Locations

1000 Station Trl
Eagan, MN 55123
Phone (651) 686-4366

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1346053865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD STE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181070",
            "telephone_number": "952-361-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STATION TRL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551233101",
            "telephone_number": "651-686-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHAVEN ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "952-361-8000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.