NPIMap

Organization Active NPI

Cokato Charitable Trust

Doing business as Edgewood Gables

  • Assisted Living Facility
  • Cokato, MN
National Provider Identifier
1467745273
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HFID20523 Issued in MN
Legal business name
COKATO CHARITABLE TRUST
Doing business as
Edgewood Gables
Practice address
600 3Rd St SE
Cokato, MN 55321-9402
Phone
(320) 286-2159
Fax
(320) 286-5729
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
COKATO CHARITABLE TRUSTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Nancy R Stratman
Title
Ceo Administrator
Phone
(320) 286-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HFID20523 MN Primary

Addresses

Primary practice location

600 3Rd St SE
Cokato, MN 55321-9402

Mailing address

600 3Rd St SE
Cokato, MN 55321-9402
Phone (320) 286-2159

Other names 1

  • EDGEWOOD GABLES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cokato Charitable Trust6 organizations share this tax ID, including this one
Part of
Cokato Charitable Trust

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1467745273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3RD ST SE",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219402",
            "telephone_number": "320-286-2159",
            "fax_number": "320-286-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3RD ST SE",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219402",
            "telephone_number": "320-286-2159",
            "fax_number": "320-286-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKATO CHARITABLE TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COKATO CHARITABLE TRUST",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "STRATMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "320-286-3103"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "HFID20523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGEWOOD GABLES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cokato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.