NPIMap

Organization Active NPI

Cokato Charitable Trust

Doing business as Brookridge

  • Assisted Living Facility
  • Cokato, MN
National Provider Identifier
1790102499
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HFID 20830 Issued in MN
Legal business name
COKATO CHARITABLE TRUST
Doing business as
Brookridge
Practice address
180 Sunset Ave NW
Cokato, MN 55321-9601
Phone
(320) 286-2158
Fax
(320) 286-2307
NPI assigned
Mar 20, 2014
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Jamie Christianson
Title
Office Clerk
Phone
(320) 286-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HFID 20830 MN Primary

Addresses

Primary practice location

180 Sunset Ave NW
Cokato, MN 55321-9601

Mailing address

180 Sunset Ave NW
Cokato, MN 55321-9601
Phone (320) 286-2158

Other names 1

  • Brookridge Doing business as

National Provider Directory

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

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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1790102499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SUNSET AVE NW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219601",
            "telephone_number": "320-286-2158",
            "fax_number": "320-286-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SUNSET AVE NW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553219601",
            "telephone_number": "320-286-2158",
            "fax_number": "320-286-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKATO CHARITABLE TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE CLERK",
        "authorized_official_telephone_number": "320-286-2158"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "HFID 20830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookridge",
            "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 Mar 20, 2014; 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.