NPIMap

Organization Active NPI

Cokato Charitable Trust

  • Assisted Living Facility
  • Cokato, MN
National Provider Identifier
1104040211
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HFID 20830 Issued in MN
Legal business name
COKATO CHARITABLE TRUST
Practice address
180 Sunset Ave NW
Cokato, MN 55321-9601
Phone
(320) 286-3196
Fax
(320) 286-3163
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathleen J Kratz
Title
Office Manager
Phone
(320) 286-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HFID 20830 MN Primary

Addresses

Primary practice location

180 Sunset Ave NW
Cokato, MN 55321-9601

Mailing address

180 Sunset Ave NW
Cokato, MN 55321-9601
Phone (320) 286-3196

Other names 1

  • Brookridge Doing business as

National Provider Directory

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

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104040211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SUNSET AVE NW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219601",
            "telephone_number": "320-286-3196",
            "fax_number": "320-286-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SUNSET AVE NW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219601",
            "telephone_number": "320-286-3196",
            "fax_number": "320-286-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKATO CHARITABLE TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRATZ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-286-2158"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "HFID 20830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookridge",
            "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 Aug 22, 2020; 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.