NPIMap

Organization Active NPI

Community Asset Foundation, LLC

  • Assisted Living Facility
  • Taylors Falls, MN
National Provider Identifier
1760861975
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMMUNITY ASSET FOUNDATION, LLC
Doing business as
The Lodge of Taylors Falls
Practice address
1051 Mulberry Street
Taylors Falls, MN 55084
Phone
(651) 240-0140
Fax
(651) 240-0141
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
David C Pokorney
Title
Treasurer
Phone
(612) 703-5709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1051 Mulberry Street
Taylors Falls, MN 55084

Mailing address

4800 W 57TH St
Sioux Falls, SD 57108-2239

Other names 1

  • The Lodge of Taylors Falls Doing business as

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
24D2099403The Lodge of Taylors Falls1051 Mulberry Street, Taylors Falls, MN 55084Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Asset Foundation LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1760861975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 MULBERRY STREET",
            "city": "TAYLORS FALLS",
            "state": "MN",
            "postal_code": "55084",
            "telephone_number": "651-240-0140",
            "fax_number": "651-240-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ASSET FOUNDATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "POKORNEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "612-703-5709"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge of Taylors Falls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Lodge of Taylors Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylors Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.