Margaret Place Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

350666 Issued in MN

Legal business name

MARGARET PLACE LIMITED PARTNERSHIP

Doing business as

Creekside Cottage

Practice address

1190 117TH Ave NW
Coon Rapids, MN 55448-2383

Phone

(763) 754-6899

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Ruth Dahl

Title

Director of Housing With Services

Phone

(763) 862-5484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Creekside Cottage Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Creekside Cottage4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Margaret Place Limited Partnership

  dba Eagle Street

  • Assisted Living Facility
  • Coon Rapids, MN
  • NPI 1235414483
  NPD tax ID
• Margaret Place Limited Partnership

  dba Margaret Place

  • Assisted Living Facility
  • Coon Rapids, MN
  • NPI 1710262399
  NPD tax ID
• Margaret Place Limited Partnership

  dba DBA: Demar Catered Living

  • Assisted Living Facility
  • Coon Rapids, MN
  • NPI 1902189350
  NPD tax ID

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1063797215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 118TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554487579",
            "telephone_number": "763-754-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 117TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482383",
            "telephone_number": "763-754-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET PLACE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR OF HOUSING WITH SERVICES",
        "authorized_official_telephone_number": "763-862-5484"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "350666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A287418300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alayna Rose Manning
• Nicholas James Manning, DPT
• Madhu Manoj, MD
• Samantha Mantz
• Solange Marie Marcel, APRN-BC
• Margaret Place Limited Partnership (Eagle Street)
• Margaret Place Limited Partnership (Margaret Place)
• Margaret Place Limited Partnership (DBA: Demar Catered Living)
• Erik William Marksberry, D.D.S.
• Meghan Markson, OTR/L

• Assisted Living Facility in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.