NPIMap

Organization Active NPI

Community Asset Foundation, LLC

Doing business as The Lodge of Winthrop

  • Assisted Living Facility
  • Winthrop, MN
National Provider Identifier
1073949657
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMMUNITY ASSET FOUNDATION, LLC
Doing business as
The Lodge of Winthrop
Practice address
204 South County Road 33
Winthrop, MN 55396
Phone
(507) 647-5391
Fax
(507) 647-2035
NPI assigned
Sep 16, 2013
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY ASSET FOUNDATION, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Rick Ford
Title
Board Chair
Phone
(507) 647-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

204 South County Road 33
Winthrop, MN 55396

Mailing address

204 South County Road 33
Winthrop, MN 55396-2501

Other names 1

  • The Lodge of Winthrop Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2066008The Lodge of Winthrop, LLC204 South County Road 33, Winthrop, MN 55396Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Asset Foundation LLC5 organizations share this tax ID, including this one
Part of
Community Asset Foundation LLC

Other organizations with this tax ID 4

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": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1073949657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SOUTH COUNTY ROAD 33",
            "city": "WINTHROP",
            "state": "MN",
            "postal_code": "553962501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTH COUNTY ROAD 33",
            "city": "WINTHROP",
            "state": "MN",
            "postal_code": "55396",
            "telephone_number": "507-647-5391",
            "fax_number": "507-647-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ASSET FOUNDATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ASSET FOUNDATION, LLC",
        "enumeration_date": "2013-09-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "507-647-5391"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge of Winthrop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winthrop, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.