Heather Haus

LBN: Prairie Manor Inc.
Heather Haus is an health care organization with primary practice located at 220 3Rd St Nw , Blooming Prairie MN 55917-1121. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Prairie Manor Inc. can be contacted via phone (507) 583-4434, or through Mason, Joseph via phone (507) 583-5180.

Contact Information

Primary practice address
220 3Rd St Nw Blooming Prairie MN 55917-1121
Phone: (507) 583-4434
Fax: (507) 583-2401
Website:
Map and Directions
Authorized official contact:
Name: Mason, Joseph LNHA, LALD, BBA
Phone: (507) 583-5180

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 325518 Minnesota

Profile Details

NPI number 1356343701
LBN Legal business name Prairie Manor Inc.
DBA Doing business as Heather Haus
Authorized official Mason, Joseph LNHA, LALD, BBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated May 11th, 2023 - about last year

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 1356343701 NPPES
Minnesota MEDICAID 122343700

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