Hatch Life LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22848 Issued in MN

Legal business name

HATCH LIFE LLC

Practice address

4590 Scott TRL
200
Eagan, MN 55122-3331

Phone

(612) 888-3133

NPI assigned

Aug 19, 2015

Last updated

Sep 4, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PREGNANCY & POSTPARTUM SUPPORT MNAs reported in NPPES

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

Authorized official

Name

Maima E Fant, MSW, LICSW

Title

Provider

Phone

(612) 888-3133

Specialties & licenses 1

Addresses

Part of

Pregnancy and Postpartum Support Minnesota

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1477929990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 SCOTT TRAIL",
            "address_2": "SUITE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "612-888-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 SCOTT TRL",
            "address_2": "200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223331",
            "telephone_number": "612-888-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATCH LIFE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREGNANCY & POSTPARTUM SUPPORT MN",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "FANT",
        "authorized_official_first_name": "MAIMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "612-888-3133",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nehra A Hassan
• Saida M Hassan
• Shokria Hassan, BSN, RN
• Hana Hassen
• Julie Ann Hasslinger, R.PH.
• Collin Raymond Hatcher, D.D.S.
• Kathryn Marie Haug
• Noel Anthony Hauge, M.D.
• Brian Timothy Hauger, PT
• Justine Wai-Wai Haung

• Clinical Social Worker in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.