Organization Active NPI

Han Hastings, LLC

  • Home Health Agency
  • Hastings, MN
National Provider Identifier
1629278445
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
334492 Issued in MN
Legal business name
HAN HASTINGS, LLC
Practice address
1128 Bahls Dr
Hastings, MN 55033-4500
Phone
(651) 438-0418
Fax
(651) 438-0419
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Mrs. Mara Kaye Letourneau
Title
Property MGR - Billing Specialist
Phone
(651) 438-0418

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 334492 MN Primary
Assisted Living Facility 310400000X

Addresses

Primary practice location

1128 Bahls Dr
Hastings, MN 55033-4500

Mailing address

1128 Bahls Dr
Hastings, MN 55033-4500
Phone (651) 438-0418

Other identifiers 1

IdentifierTypeStateIssuer
A938912000MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1629278445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 BAHLS DR",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550334500",
            "telephone_number": "651-438-0418",
            "fax_number": "651-438-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 BAHLS DR",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550334500",
            "telephone_number": "651-438-0418",
            "fax_number": "651-438-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN HASTINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "LETOURNEAU",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PROPERTY MGR - BILLING SPECIALIST",
        "authorized_official_telephone_number": "651-438-0418",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "334492",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A938912000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 19, 2021; 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.