Provider Demographics
NPI:1598907131
Name:THE HENDRICKS GROUP INC.
Entity Type:Organization
Organization Name:THE HENDRICKS GROUP INC.
Other - Org Name:HOMETOWN SENIOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-948-6597
Mailing Address - Street 1:401 FINVOLD ST
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54028-9719
Mailing Address - Country:US
Mailing Address - Phone:715-781-0605
Mailing Address - Fax:651-344-4401
Practice Address - Street 1:1265 BELMONT DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2381
Practice Address - Country:US
Practice Address - Phone:715-808-0101
Practice Address - Fax:715-808-0219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN360014310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility