Hammer Residences, Inc

Primary specialty

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

Legal business name

HAMMER RESIDENCES, INC

Doing business as

HAMMER

Practice address

1909 Wayzata Blvd
Wayzata, MN 55391-2047

Phone

(952) 473-1261

Fax

(952) 473-8629

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Timothy R Nelson

Title

Chief Executive Officer

Phone

(952) 277-2422

Specialties & licenses 1

Addresses

Other names 1

• HAMMER Doing business as

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 1356427397
  NPD tax ID
• Hammer Residences, Inc.

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

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598808446",
    "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": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-277-2422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAMMER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vian Maureen Gredvig, MSW, LICSW
• 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

• 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 Aug 22, 2020; 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.