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HAZEL SENIOR LIVING
NPI 1770106205
Assisted Living Facility in Saint Paul, MN

Active since May 19, 2020
1109 HAZEL ST N, SAINT PAUL, MN 55119(651) 600-4403 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hazel Senior Living NPPES

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

HAZEL SENIOR LIVING (NPI 1770106205) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since May 2020. The organization lists Tong Vang, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1770106205
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHAZEL SENIOR LIVING
Location Address1109 HAZEL ST NSaint Paul, MN 55119-4806
Mailing Address1109 Hazel St NSaint Paul, MN 55119-4806 · (651) 600-4403
Phone(651) 600-4403
Organization SubpartNo
Authorized OfficialTong VangOperations Manager · (651) 600-4403
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1770106205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
1109 HAZEL ST N, Saint Paul, MN 55119
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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 Hazel Senior Living's NPI number?

The NPI number for Hazel Senior Living is 1770106205. It was assigned to this organization in the NPPES registry on May 19, 2020.

Where is Hazel Senior Living located?

Hazel Senior Living is located at 1109 Hazel St N, Saint Paul, MN 55119. The listed phone number is (651) 600-4403.

What is Hazel Senior Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Hazel Senior Living was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.