OrganizationActive
Henry Hagen Residence
NPI 1194901751 · Intellectual Disabilities Intermediate Care Facility · Hastings, MN
Provider details
- NPI number
- 1194901751
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Reynolds, Owner(651) 603-8881
- License
- 01091 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19845 Lillehei Ave
Hastings, MN 55033-9354
Phone: (651) 437-9363
Fax: (651) 437-9363
Street-level locationGet directions
Mailing address
19845 Lillehei Ave
Hastings, MN 55033-9354
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2008-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.