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HAMMER RESIDENCES, INC.
NPI 1356427397
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wayzata, MN

Active since October 31, 2006CLIA 24D1068783 · Waiver
1909 WAYZATA BLVD, WAYZATA, MN 55391(952) 473-1261(952) 473-8629 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hammer Residences, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAMMER RESIDENCES, INC. (NPI 1356427397) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wayzata, Minnesota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists John Estrem, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1356427397
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameHAMMER RESIDENCES, INC.
Location Address1909 WAYZATA BLVDWayzata, MN 55391-2047
Mailing Address1909 Wayzata BlvdWayzata, MN 55391-2047 · (952) 473-1261 · Fax (952) 473-8629
Phone(952) 473-1261
Fax(952) 473-8629
Organization SubpartNo
Authorized OfficialJohn EstremChief Executive Officer · (952) 277-2422
Enumeration DateOctober 31, 2006
Last NPPES UpdateMarch 8, 2017
✔ NPI 1356427397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MN · 803918
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1909 WAYZATA BLVD, Wayzata, MN 55391
Open in Google Maps ↗

Other Identifiers 1

Medicaid148816300MN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1068783

Hammer Residences, Inc · Wayzata, MN
Active · expires May 20, 2027
CLIA Number24D1068783
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorJenna Neal
Laboratory Phone(952) 277-2454
Laboratory LocationHammer Residences, Inc1909 Wayzata Blvd E, Wayzata, MN 55391
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAMMER RESIDENCES, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1909 WAYZATA BLVD
WAYZATA, MN 55391
Hennepin County (952) 473-1261
HAMMER RESIDENCES, INC.
Intermediate Care Facility, Intellectual Disabilities
1909 WAYZATA BLVD
WAYZATA, MN 55391
Hennepin County (952) 473-1261
CHRISTA MARIE CARPENTER
Occupational Therapist
1909 WAYZATA BLVD
WAYZATA, MN 55391
Hennepin County (952) 473-1261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hammer Residences, Inc.'s NPI number?

The NPI number for Hammer Residences, Inc. is 1356427397. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Hammer Residences, Inc. located?

Hammer Residences, Inc. is located at 1909 Wayzata Blvd, Wayzata, MN 55391. The listed phone number is (952) 473-1261.

What is Hammer Residences, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Hammer Residences, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1068783) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hammer Residences, Inc. was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.