Hammer Residences, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

803918 Issued in MN

Legal business name

HAMMER RESIDENCES, INC.

Practice address

1909 Wayzata Blvd
Wayzata, MN 55391-2047

Phone

(952) 473-1261

Fax

(952) 473-8629

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

John Estrem

Title

Chief Executive Officer

Phone

(952) 277-2422

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hammer3 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.

• Hammer Residences, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wayzata, MN
  • NPI 1598808446
  NPD tax ID
• Hammer Residences, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Wayzata, MN
  • NPI 1811919996
  NPD tax ID

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1356427397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 WAYZATA BLVD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912047",
            "telephone_number": "952-473-1261",
            "fax_number": "952-473-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 WAYZATA BLVD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912047",
            "telephone_number": "952-473-1261",
            "fax_number": "952-473-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMER RESIDENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "ESTREM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-277-2422"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "803918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148816300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie J Greenberg, M.A., L.P.
• Patricia Yarnes Hadley, D.C.
• Mitchell Hagen, MD
• Hakim Medical Enterprises, P.a.
• Hammer Residences, Inc
• Hammer Residences, Inc.
• Hannon Dental, P.L.L.C.
• Charles Hannon, DDS
• Jodi S Haroldson, PT
• Katherine Jane Haskin, L.M.F.T.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.