Covered Bridge LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COVERED BRIDGE LLC

Practice address

231 Washington St
Holdingford, MN 56340-9513

Phone

(320) 828-6369

NPI assigned

Feb 13, 2024

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trista BarstowNPI 1629832795

Title

Owner

Phone

(218) 255-1563

Specialties & licenses 1

Addresses

Other names 1

• Covered Bridge LLC Other name

Locations

Practitioners 1

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.

• Trista Barstow

  • Assisted Living Facility
  • Holdingford, MN
  • NPI 1629832795
  NPD Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1245094887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "HOLDINGFORD",
            "state": "MN",
            "postal_code": "563400010",
            "telephone_number": "218-255-1563",
            "fax_number": "320-746-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WASHINGTON ST",
            "city": "HOLDINGFORD",
            "state": "MN",
            "postal_code": "563409513",
            "telephone_number": "320-828-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVERED BRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BARSTOW",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-255-1563"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covered Bridge LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trista Barstow
• Sarah Jean Binek, RN
• Allen Lloyd Fedor
• Helping Hands Outreach
• Independent School District 738

• Assisted Living Facility in Holdingford, MN
• Providers in Holdingford, 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 Feb 13, 2024; 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.