Active NPI
Knute Nelson Cottages LLC
Doing business as Autumn Cottages by Knute Nelson
- Assisted Living Facility
- Alexandria, MN
National Provider Identifier
1295404622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- KNUTE NELSON COTTAGES LLC
- Doing business as
- Autumn Cottages by Knute Nelson
- Practice address
- 812 McKay Ave S
Alexandria, MN 56308-2362 - Phone
- (320) 763-8244
- NPI assigned
- Sep 9, 2021
- Last updated
- Sep 9, 2021
- Organization subpart
- Yes
- Parent organization
- KNUTE NELSON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marnie M Gugisberg
- Title
- Cfo
- Phone
- (320) 763-1164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
812 McKay Ave S
Alexandria, MN 56308-2362
Mailing address
420 12TH Ave E
Alexandria, MN 56308-2612
Phone (320) 763-1164
Other names 1
- Autumn Cottages by Knute Nelson
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1016020 | Autumn Cottages by Knute Nelson | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider Directory- Part of
- Knute Nelson
Locations
812 McKay Ave S
Alexandria, MN 56308
Phone (320) 763-8244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631145600000",
"number": "1295404622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 12TH AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082612",
"telephone_number": "320-763-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 MCKAY AVE S",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082362",
"telephone_number": "320-763-8244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNUTE NELSON COTTAGES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KNUTE NELSON",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A",
"authorized_official_last_name": "GUGISBERG",
"authorized_official_first_name": "MARNIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "320-763-1164"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Autumn Cottages by Knute Nelson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, MN
- Knute Nelson (Knute Nelson Home Health)
- Knute Nelson (Knute Nelson Hospice)
- Knute Nelson (Knute Nelson Care Center)
- Knute Nelson (Knute Nelson Hospice)
- Knute Nelson (Nelson Gables)
- Knute Nelson Senior Living Campus, LLC (Grand Arbor)
- Dianne Marie Knutson, LADC
- Aubrey Lynn Koep
- Ashley Koepp
- Vickie Davis Kohler, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.