NPIMap

Organization Active NPI

Margaret Place Limited Partnership

  • Assisted Living Facility
  • Coon Rapids, MN
National Provider Identifier
1902189350
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
350791 Issued in MN
Legal business name
MARGARET PLACE LIMITED PARTNERSHIP
Practice address
11777 Xeon Blvd NW
Coon Rapids, MN 55448-2060
Phone
(763) 755-8174
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Ruth Dahl
Title
Director of Housing With Services
Phone
(763) 862-5484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 350791 MN Primary

Addresses

Primary practice location

11777 Xeon Blvd NW
Coon Rapids, MN 55448-2060

Mailing address

1555 118TH LN NW
Coon Rapids, MN 55448-7579
Phone (763) 862-5430

Other identifiers 1

IdentifierTypeStateIssuer
A773143000MedicaidMN

Other names 1

  • DBA: Demar Catered Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creekside Cottage4 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": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1902189350",
    "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": "763-862-5430",
            "fax_number": "763-754-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 XEON BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482060",
            "telephone_number": "763-755-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET PLACE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR OF HOUSING WITH SERVICES",
        "authorized_official_telephone_number": "763-862-5484"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "350791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A773143000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Demar Catered Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.