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STONEHAVEN ASSISTED LIVING INC.
NPI 1790060838
Assisted Living Facility in Brookston, MN

Active since October 20, 2011
8783 2ND STREET SOUTH, BROOKSTON, MN 55711(218) 453-5062(218) 453-5064 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stonehaven Assisted Living Inc. NPPES

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

STONEHAVEN ASSISTED LIVING INC. (NPI 1790060838) is a healthcare organization registered as an assisted living facility in Brookston, Minnesota and active in the NPI registry since October 2011. The organization lists Jennifer Renee Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1790060838
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSTONEHAVEN ASSISTED LIVING INC.
Location Address8783 2ND STREET SOUTHBrookston, MN 55711-0284
Mailing Address8783 2nd Street SouthBrookston, MN 55711-0284 · (218) 453-5062 · Fax (218) 453-5064
Phone(218) 453-5062
Fax(218) 453-5064
Organization SubpartYes
Authorized OfficialJennifer Renee JohnsonPresident/owner · (218) 453-5062
Enumeration DateOctober 20, 2011
✔ NPI 1790060838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 354457
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.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 35448 (MN)
8783 2ND STREET SOUTH, Brookston, MN 55711
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Other Providers at the Same Location NPPES

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

MRS. JENNIER RENEE JOHNSON PRESIDENT
Assisted Living Facility
8783 2ND STREET SOUTH
BROOKSTON, MN 55711
St. Louis County (218) 453-5062

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 Stonehaven Assisted Living Inc.'s NPI number?

The NPI number for Stonehaven Assisted Living Inc. is 1790060838. It was assigned to this organization in the NPPES registry on October 20, 2011.

Where is Stonehaven Assisted Living Inc. located?

Stonehaven Assisted Living Inc. is located at 8783 2nd Street South, Brookston, MN 55711. The listed phone number is (218) 453-5062.

What is Stonehaven Assisted Living Inc.'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 Stonehaven Assisted Living Inc. was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.