Barrett Prody

LBN: Haven Manor
Barrett Prody is an health care organization with primary practice located at 419 E Saint Charles Ave , Fergus Falls MN 56537-3616. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Haven Manor can be contacted via phone (218) 739-2799, or through Bellmore, Cathy A via phone (218) 739-2799.

Contact Information

Primary practice address
419 E Saint Charles Ave Fergus Falls MN 56537-3616
Phone: (218) 739-2799
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bellmore, Cathy A
Phone: (218) 739-2799

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 1058161-1-AFC Minnesota

Profile Details

NPI number 1477867299
LBN Legal business name Haven Manor
DBA Doing business as Barrett Prody
Authorized official Bellmore, Cathy A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2010
Last updated Aug 4th, 2010 - about 14 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 1477867299 NPPES
Minnesota Other 1058161-1-AFC MINNESOTA LICENSE

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