Mary T Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

342612 Issued in MN

Legal business name

MARY T HOSPICE

Practice address

1555 118TH LN NW
Coon Rapids, MN 55448-7579

Phone

(763) 754-2505

Fax

(763) 862-5472

NPI assigned

Dec 23, 2008

Organization subpart

Yes

Parent organization

MARY T. ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Ms. Mary T Tjosvold

Title

President and Stockholder

Phone

(763) 754-2505

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Mary T Home Health Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mary T Associates Inc

  • Home Health Agency
  • Coon Rapids, MN
  • NPI 1770643694
  NPPES parent name

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1629214515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 118TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554487579",
            "telephone_number": "763-754-2505",
            "fax_number": "763-755-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 118TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554487579",
            "telephone_number": "763-754-2505",
            "fax_number": "763-862-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY T HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY T. ASSOCIATES",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "TJOSVOLD",
        "authorized_official_first_name": "MARY T",
        "authorized_official_title_or_position": "PRESIDENT AND STOCKHOLDER",
        "authorized_official_telephone_number": "763-754-2505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "342612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE, STATE LICENSE",
            "identifier": "342612",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Marty
• Marissa Emily Marx, LPCC
• Mary T Associates Inc
• Mary T Home Health Inc (Mary T Home Health - Hospice)
• Mary T Home Health Inc
• Mary T Outpatient
• Beth Tuttle Maschoff, RDN, LD
• Jael Masi
• Rachael Mason
• Moeen Ahmad Masood, M.B., B.S.

• Community Based Hospice Care Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.