Hearthstone Care Group LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEARTHSTONE CARE GROUP LLC

Practice address

441 Arrowhead LN Unit B
Moose Lake, MN 55767-7702

Phone

(614) 560-9636

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Fry

Title

Owner

Phone

(614) 560-9636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1376286989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557670853",
            "telephone_number": "218-565-7565",
            "fax_number": "218-228-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 ARROWHEAD LN UNIT B",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557677702",
            "telephone_number": "614-560-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-560-9636"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Marie Hakamaki, DPT
• Keri A Halverson, CCC/SLP
• Ashley Lynae Hamblin, OD
• Anna Rose Hamner, RN
• April M Hansen, OTR/L
• Teresa Hornby, RPH
• James Clinton Hubred, DDS
• Allison Michelle Immel
• Richard Dean Jacobs, PT
• Joseph John Jamros, OD

• Community Based Hospice Care Agency in Moose Lake, MN
• Providers in Moose Lake, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.