NPIMap

Organization Active NPI

Cokato Charitable Trust

Doing business as Cokato Manor Companion Care

  • In Home Supportive Care Agency
  • Cokato, MN
National Provider Identifier
1023308749
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HFID 26004 Issued in MN
Legal business name
COKATO CHARITABLE TRUST
Doing business as
Cokato Manor Companion Care
Practice address
600 3Rd St SE
Cokato, MN 55321-9402
Phone
(320) 286-3049
Fax
(320) 286-2307
NPI assigned
Apr 14, 2011
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
COKATO CHARITABLE TRUSTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy R Stratman
Title
Administrator Ceo
Phone
(320) 286-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HFID 26004 MN Primary

Addresses

Primary practice location

600 3Rd St SE
Cokato, MN 55321-9402

Mailing address

182 Sunset Ave NW
Cokato, MN 55321-9620
Phone (320) 286-2158

Other identifiers 1

IdentifierTypeStateIssuer
HFID26004MedicaidMN

Other names 1

  • Cokato Manor Companion Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cokato Charitable Trust6 organizations share this tax ID, including this one
Part of
Cokato Charitable Trust

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1023308749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SUNSET AVE NW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219620",
            "telephone_number": "320-286-2158",
            "fax_number": "320-286-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3RD ST SE",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219402",
            "telephone_number": "320-286-3049",
            "fax_number": "320-286-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKATO CHARITABLE TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COKATO CHARITABLE TRUST",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "STRATMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "320-286-2158"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "HFID 26004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HFID26004",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cokato Manor Companion Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cokato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.