Active NPI
Hallowstone Mankato Operating LLC
- Assisted Living Facility
- Mankato, MN
National Provider Identifier
1770453219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.