NPIMap

Organization Active NPI

State of Minnesota-Minnesota Management and Budget

Doing business as Minnesota Veterans Home - Hastings Domiciliary

  • Assisted Living Facility
  • Hastings, MN
National Provider Identifier
1508165457
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
Doing business as
Minnesota Veterans Home - Hastings Domiciliary
Practice address
1200 18TH St E
Hastings, MN 55033-3680
Phone
(651) 438-8500
NPI assigned
Mar 17, 2011
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGETAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Mary Elizabeth Johnson
Title
Central Pharmacy, Pharmacist Senior
Phone
(612) 548-5962

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary
Assisted Living Facility (Mental Illness) 3104A0625X NU

Addresses

Primary practice location

1200 18TH St E
Hastings, MN 55033-3680

Mailing address

5101 Minnehaha Ave BLDG 10
Minneapolis, MN 55417-1647
Phone (612) 548-5962

Other names 2

  • Minnesota Veterans Home - Hastings Domiciliary Doing business as
  • Veterans Home Other name

National Provider Directory

National Provider Directory
Tax ID family
St Cloud State Univ HLT28 organizations share this tax ID, including this one
Part of
St Cloud State Univ HLT

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

1200 18th St E
Hastings, MN 55033
Phone (651) 438-8500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1508165457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 MINNEHAHA AVE BLDG 10",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-548-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 18TH ST E",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333680",
            "telephone_number": "651-438-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET",
        "enumeration_date": "2011-03-17",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CENTRAL PHARMACY, PHARMACIST SENIOR",
        "authorized_official_telephone_number": "612-548-5962"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Veterans Home - Hastings Domiciliary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Veterans Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.