HAMMER RESIDENCES INC NPI 1598808446

NPI Information

  • NPI: 1598808446
  • Provider Name: HAMMER RESIDENCES, INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: HAMMER
  • CLIA Number: 24D1068783
  • Address: 1909 WAYZATA BLVD
    WAYZATA, MN
    ZIP 55391
  • Phone: (952) 473-1261

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NPI Details

HAMMER RESIDENCES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Wayzata, MN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. HAMMER RESIDENCES, INC NPI is 1598808446. The provider is registered as an organization entity type.
The provider Is Doing Business As Hammer.

The provider's business location address is:

1909 WAYZATA BLVD
WAYZATA, MN
ZIP 55391-047
Phone: (952) 473-1261
Fax: (952) 473-8629

The provider's authorized official is Timothy R Nelson .
The authorized official title is Chief Executive Officer and has the following contact phone number (952) 277-2422.

The CLIA number assigned to this NPI record is 24D1068783 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

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This page was last updated on: 11/21/2025

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