Hazel Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAZEL SENIOR LIVING

Practice address

1109 Hazel St N
Saint Paul, MN 55119-4806

Phone

(651) 600-4403

NPI assigned

May 19, 2020

Organization subpart

No

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

Authorized official

Name

Tong Vang

Title

Operations Manager

Phone

(651) 600-4403

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1770106205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 HAZEL ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194806",
            "telephone_number": "651-600-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 HAZEL ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194806",
            "telephone_number": "651-600-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "TONG",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "651-600-4403"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tong.vang@sunlightservicesllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1109 Hazel St N",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551194806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Elizabeth Hayes, M.D.
• Abdullahi Ahmed Hayir
• Christopher P Haynes, DNP
• Safiya Mukhtar Hayow
• Shawn Anthony Hayward, M.S.W., L.I.C.S.W.
• Hazelden Betty Ford Foundation
• Hazelden Betty Ford Foundation
• Michelle Marie Hazelton, CRNA
• Megan He
• Kelly Heagle, MA, LMFT

• All providers in Saint Paul, MN
• Assisted Living Facility in Minnesota

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