Organization Active NPI

Cook Carefree Living

  • Assisted Living Facility
  • Cook, MN
National Provider Identifier
1215711700
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COOK CAREFREE LIVING
Practice address
151 4TH St SE
Cook, MN 55723-8094
Phone
(218) 666-0200
Fax
(218) 666-0203
NPI assigned
Aug 24, 2023
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Jon Monacelli
Title
SVP of Finance
Phone
(218) 741-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

151 4TH St SE
Cook, MN 55723-8094

Mailing address

418 9TH St S
Virginia, MN 55792-2838
Phone (218) 741-3013

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1215711700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 9TH ST S",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922838",
            "telephone_number": "218-741-3013",
            "fax_number": "218-741-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 4TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557238094",
            "telephone_number": "218-666-0200",
            "fax_number": "218-666-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CAREFREE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "MONACELLI",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "SVP OF FINANCE",
        "authorized_official_telephone_number": "218-741-3013"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cook, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.