Organization Active NPI

Hallowstone Mankato Operating LLC

  • Assisted Living Facility
  • Mankato, MN
National Provider Identifier
1770453219
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HALLOWSTONE MANKATO OPERATING LLC
Practice address
100 Teton LN
Mankato, MN 56001-4827
Phone
(239) 292-1513
NPI assigned
Nov 10, 2025
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Ayla Harwood
Title
Coo
Phone
(239) 292-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

100 Teton LN
Mankato, MN 56001-4827

Mailing address

12811 Kenwood LN Ste 218
Fort Myers, FL 33907-5645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1770453219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 218",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TETON LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014827",
            "telephone_number": "239-292-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLOWSTONE MANKATO OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "HARWOOD",
        "authorized_official_first_name": "AYLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "239-292-1513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.