Provider Demographics
NPI:1073883658
Name:HUTCHINSON SENIOR CARE SERVICES
Entity Type:Organization
Organization Name:HUTCHINSON SENIOR CARE SERVICES
Other - Org Name:HARMONY RIVER LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-484-4472
Mailing Address - Street 1:1555 SHERWOOD ST SE
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-3285
Mailing Address - Country:US
Mailing Address - Phone:320-484-6000
Mailing Address - Fax:
Practice Address - Street 1:1555 SHERWOOD ST SE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-3285
Practice Address - Country:US
Practice Address - Phone:320-484-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN245114Medicare Oscar/Certification