Stonehaven Assisted Living Inc.
Organization Active NPI Assisted Living Facility · Brookston, MN
NPI 1790060838 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1790060838
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 354457 (MN)
- Legal business name
- STONEHAVEN ASSISTED LIVING INC.
- Practice address
- 8783 2ND Street South
Brookston, MN 55711-0284 - Phone
- (218) 453-5062
- Fax
- (218) 453-5064
- NPI assigned
- Oct 20, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- STONEHAVEN ASSISTED LIVING INC.
Authorized official
- Name
- Mrs. Jennifer Renee Johnson
- Title
- President/Owner
- Phone
- (218) 453-5062
Practitioners 1
-
Jennier Renee Johnson, PRESIDENT
National Provider Directory
- Part of
- Stonehaven Assisted Living Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 354457 | MN | Yes |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 35448 | MN |
Addresses
Primary practice location
8783 2ND Street South
Brookston, MN 55711-0284
Mailing address
8783 2ND Street South
Brookston, MN 55711-0284
Phone (218) 453-5062
Other providers in Brookston, MN
- Abby Johnsen
- Jennier Renee Johnson
- Peterson Colonial Homes, Inc.
- Sharon Shofner Adult Foster Care
- Andrew Timothy Shofner
- Transitions Plus, Inc.
All providers in Brookston, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.