Organization Active NPI

Hospitality House of Dayton Lake

  • Adult Care Home Facility
  • Fergus Falls, MN
National Provider Identifier
1790230936
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
APPLIED Issued in MN
Legal business name
HOSPITALITY HOUSE OF DAYTON LAKE
Practice address
19758 Dayton Hollow LN
Fergus Falls, MN 56537-7621
Phone
(218) 739-1046
Fax
(218) 737-0028
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Dr. Melvin L Frank, D.MIN
Title
Member
Phone
(218) 205-0426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X APPLIED MN Primary

Addresses

Primary practice location

19758 Dayton Hollow LN
Fergus Falls, MN 56537-7621

Mailing address

19758 Dayton Hollow LN
Fergus Falls, MN 56537-7621
Phone (218) 739-1046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1790230936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19758 DAYTON HOLLOW LN",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565377621",
            "telephone_number": "218-739-1046",
            "fax_number": "218-737-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19758 DAYTON HOLLOW LN",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565377621",
            "telephone_number": "218-739-1046",
            "fax_number": "218-737-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALITY HOUSE OF DAYTON LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "218-205-0426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "APPLIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.