Organization Active NPI

Central Minnesota Senior Housing, LLC

Doing business as Cottagewood Senior Communities

  • Assisted Living Facility
  • Rochester, MN
National Provider Identifier
1538433677
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CENTRAL MINNESOTA SENIOR HOUSING, LLC
Doing business as
Cottagewood Senior Communities
Practice address
4220 55TH St NW
Rochester, MN 55901-8900
Phone
(507) 286-8528
Fax
(507) 286-8527
NPI assigned
Mar 7, 2012
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Angie Bantle
Title
VP of Assisted Living Operations
Phone
(763) 202-5037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4220 55TH St NW
Rochester, MN 55901-8900

Mailing address

4220 55TH St NW
Rochester, MN 55901-8900
Phone (507) 286-8528

Other names 1

  • Cottagewood Senior Communities Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Minnesota Senior Housing LLC4 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.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1538433677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018900",
            "telephone_number": "507-286-8528",
            "fax_number": "507-286-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018900",
            "telephone_number": "507-286-8528",
            "fax_number": "507-286-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MINNESOTA SENIOR HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "BANTLE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "VP OF ASSISTED LIVING OPERATIONS",
        "authorized_official_telephone_number": "763-202-5037"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottagewood Senior Communities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.