Hayes Residence

LBN: Faulkner And Reynolds Enterprises, Inc
Hayes Residence is an health care organization with primary practice located at 1620 Randolph Ave , St. Paul MN 55105. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Faulkner And Reynolds Enterprises, Inc can be contacted via phone (651) 690-4458, or through Reynolds, Laura via phone (651) 690-4458.

Contact Information

Primary practice address
1620 Randolph Ave St. Paul MN 55105
Phone: (651) 690-4458
Fax: (651) 690-2787
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Laura ADMINISTRATOR
Phone: (651) 690-4458

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 327672 Minnesota
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 360749 Minnesota

Profile Details

NPI number 1538140496
LBN Legal business name Faulkner And Reynolds Enterprises, Inc
DBA Doing business as Hayes Residence
Authorized official Reynolds, Laura ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Feb 12th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538140496 NPPES
Minnesota MEDICAID 314243400

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