PHS/ Cottage Grove

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

357333 Issued in MN

Legal business name

PHS/ COTTAGE GROVE

Practice address

8200 Hadley Ave S
Cottage Grove, MN 55016-2697

Phone

(651) 769-6600

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Jon Tranby

Title

Payer Relations Director

Phone

(651) 631-6102

Specialties & licenses 1

Addresses

Other names 1

• Norris Square Other name

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1164848362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HADLEY AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162697",
            "telephone_number": "651-769-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHS/ COTTAGE GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "TRANBY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PAYER RELATIONS DIRECTOR",
        "authorized_official_telephone_number": "651-631-6102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "357333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norris Square",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• PDG, PA
• Peace Healthcare Systems
• Thomas A Peichel, MA LICSW
• Alison Mary Peterson, MD
• Ekaterina Peterson, PA-C
• Danielle Pohl, MD
• Kaitlynn Pontius, LPCC
• Premier Eye Care, Cottage Grove, LTD (Premier Eye Care, Cottage Grove)
• Presence Telehealth PLLC (Compcare Urgent Care Cottage Grove)
• Proper Sleep East Metro PLLC

• Assisted Living Facility in Cottage Grove, MN
• Providers in Cottage Grove, 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 Aug 18, 2026; 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.