Cokato Charitable Trust

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

03746 Issued in MN

Legal business name

COKATO CHARITABLE TRUST

Doing business as

Cokato Manor Home Health

Practice address

511 Cokato St NW
Cokato, MN 55321-9404

Phone

(320) 286-3049

Fax

(320) 286-2307

NPI assigned

Jul 5, 2006

Last updated

Sep 8, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

COKATO CHARITABLE TRUSTAs reported in NPPES

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

Authorized official

Name

James Broich

Title

Ceo/Administrator

Phone

(320) 286-2158

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• COKATO MANOR HOME HEALTH Doing business as

Part of

Cokato Charitable Trust

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1407887953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SUNSET AVE NW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219620",
            "telephone_number": "320-286-2158",
            "fax_number": "320-286-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 COKATO ST NW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219404",
            "telephone_number": "320-286-3049",
            "fax_number": "320-286-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKATO CHARITABLE TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COKATO CHARITABLE TRUST",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BROICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "320-286-2158"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "03746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "30437",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5Z74C0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5900013",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249075700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IV THERAPY",
            "identifier": "60-12085",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME WEST",
            "identifier": "030802014",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "167905",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COKATO MANOR HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce Bohnsack DDS
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• Cokato Charitable Trust (Cokato Manor Companion Care)
• Cokato Charitable Trust (Brookridge)
• Cokato Charitable Trust (Cokato Manor)
• Cokato Charitable Trust (Edgewood Gables)
• Cokato Charitable Trust (Brookridge)
• Cokato Charitable Trust (Heritage Place)
• Cokato Chiropractic, P.a.
• Cokato Drug LLC (Cokato Keaveny Drug)

• Home Health Agency in Cokato, MN
• Providers in Cokato, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.