Organization Active NPI

Oak Terrace Assisted Living of North Mankato

  • Assisted Living Facility
  • North Mankato, MN
National Provider Identifier
1710432869
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OAK TERRACE ASSISTED LIVING OF NORTH MANKATO
Practice address
1575 Hoover Dr
North Mankato, MN 56003-2667
Phone
(507) 387-2037
Fax
(507) 387-2061
NPI assigned
Aug 18, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Drew Michael Hood, LNHA
Title
Administrator
Phone
(507) 387-2037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1575 Hoover Dr
North Mankato, MN 56003-2667

Mailing address

1575 Hoover Dr
North Mankato, MN 56003-2667
Phone (507) 387-2037

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1023756Oak Terrace Assisted Living of North Mankato1575 Hoover Drive, North Mankato, MN 56003Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1710432869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HOOVER DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032667",
            "telephone_number": "507-387-2037",
            "fax_number": "507-387-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HOOVER DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032667",
            "telephone_number": "507-387-2037",
            "fax_number": "507-387-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TERRACE ASSISTED LIVING OF NORTH MANKATO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-387-2037",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.

Verify at the official NPI Registry.