NPIMap

Organization Active NPI

Cook County Hospital District

Doing business as Cook County North Shore Hospital and Care Center

  • Skilled Nursing Facility
  • Grand Marais, MN
National Provider Identifier
1225192073
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
331910 Issued in MN
Legal business name
COOK COUNTY HOSPITAL DISTRICT
Doing business as
Cook County North Shore Hospital and Care Center
Practice address
515 5TH Ave W
Grand Marais, MN 55604-3017
Phone
(218) 387-3040
NPI assigned
Dec 19, 2006
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Kimber L Wraalstad
Title
Ceo/Administrator
Phone
(218) 387-3260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 331910 MN Primary

Addresses

Primary practice location

515 5TH Ave W
Grand Marais, MN 55604-3017

Mailing address

515 5TH Ave W
Grand Marais, MN 55604-3017
Phone (218) 387-3040

Other names 1

  • Cook County North Shore Hospital and Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000815 MN Part A Provider - Skilled Nursing Facility 4284629742 Practice locations: Grand Marais, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225192073. Details of each certification follow.

Skilled nursing facility certification: CCN 245384

Legal name
COOK COUNTY HOSPITAL DISTRICT
Doing business as
NORTH SHORE HEALTH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1987
Last certification
Aug 1, 2024
Beds
37
Ownership / control type
Hospital District
Organization structure
GovernmentNon-profit
Enrollment address
515 5TH Ave W
Grand Marais, MN 55604-3017
Nursing home name
NORTH SHORE HEALTH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
North Shore HealthCCN 245384 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jan 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3727.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Cook Cnty N Shore Hosp4 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.

Locations

515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
River of Life Rehab Organization, Grand Marais, MN LLC Adp of the SNF Apr 9, 2025
Deidre L Larock -Muggley Individual Adp of the SNF Jul 1, 2003
Kimber L Wraalstad Individual Operational/Managerial ControlAdministrator Aug 1, 2010
Adp of the SNF Aug 1, 2010
Organization, Sun Prairie, WI Financial institution, Consulting firm Adp of the SNF Oct 30, 2025
Cook County Hospital District Organization, Grand Marais, MN Operational/Managerial Control Jan 1, 1987 100%
Organization, Duluth, MN Corporation, Medical provider/supplier Adp of the SNF Oct 28, 2025
Organization, Evansville, IN Financial institution Adp of the SNF Oct 29, 2025
Catherine M Hansen Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Organization, Fargo, ND Consulting firm, For-profit Adp of the SNF Dec 3, 2025
Organization, Hopkins, MN Corporation, Management services company, Consulting firm Adp of the SNF Oct 29, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Shore HealthGrand Marais, MN, CCN 241317 Hospital Operational/Managerial Control Sep 4, 2009
North Shore HealthGrand Marais, MN, CCN 24Z317 Hospital Operational/Managerial Control Mar 3, 2010
North Shore HealthGrand Marais, MN, CCN 247004 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 1996

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1225192073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 5TH AVE W",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556043017",
            "telephone_number": "218-387-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 5TH AVE W",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556043017",
            "telephone_number": "218-387-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "WRAALSTAD",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "218-387-3260"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook County North Shore Hospital and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Marais, MN

Sources for this page

Verify at the official NPI Registry.