STONEHAVEN ASSISTED LIVING INC. NPI 1790060838

NPI Information

  • NPI: 1790060838
  • Provider Name: STONEHAVEN ASSISTED LIVING INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 8783 2ND STREET SOUTH
    BROOKSTON, MN
    ZIP 55711
  • Phone: (218) 453-5062

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NPI Details

STONEHAVEN ASSISTED LIVING INC. is an assisted living facility in Brookston, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. STONEHAVEN ASSISTED LIVING INC. NPI is 1790060838. The provider is registered as an organization entity type.

The provider's business location address is:

8783 2ND STREET SOUTH
BROOKSTON, MN
ZIP 55711-284
Phone: (218) 453-5062
Fax: (218) 453-5064

The provider's authorized official is Jennifer Renee Johnson .
The authorized official title is President/owner and has the following contact phone number (218) 453-5062.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 10/20/2011.

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
1313M00000XNursing Facility/Intermediate Care Facility35448MINNESOTANo
2310400000XAssisted Living Facility354457MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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