Active NPI
Cokato Charitable Trust
Doing business as Heritage Place
- Alzheimer Center (Dementia Center)
- Cokato, MN
National Provider Identifier
1942424155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- HFID 20343
- Legal business name
- COKATO CHARITABLE TRUST
- Doing business as
- Heritage Place
- Practice address
- 182 Sunset Ave NW
Cokato, MN 55321-9620 - Phone
- (320) 286-2158
- Fax
- (320) 286-5729
- NPI assigned
- Apr 12, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen J Kratz
- Title
- Office Manager
- Phone
- (320) 286-2158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | HFID 20343 | MN | Primary |
Addresses
Primary practice location
182 Sunset Ave NW
Cokato, MN 55321-9620
Mailing address
182 Sunset Ave NW
Cokato, MN 55321-9620
Phone (320) 286-2158
Other names 1
- Heritage Place
National Provider Directory
National Provider Directory- Tax ID family
- Cokato Charitable Trust
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cokato Manor Companion Care
- In Home Supportive Care Agency
- Cokato, MN
- NPI 1023308749
Locations
182 Sunset Ave NW
Cokato, MN 55321
Phone (320) 286-2158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942424155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 SUNSET AVE NW",
"city": "COKATO",
"state": "MN",
"postal_code": "553219620",
"telephone_number": "320-286-2158",
"fax_number": "320-286-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 SUNSET AVE NW",
"city": "COKATO",
"state": "MN",
"postal_code": "553219620",
"telephone_number": "320-286-2158",
"fax_number": "320-286-5729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COKATO CHARITABLE TRUST",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRATZ",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "320-286-2158"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "MN",
"license": "HFID 20343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Place",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cokato, MN
- Cokato Charitable Trust (Brookridge)
- Cokato Charitable Trust (Cokato Manor)
- Cokato Charitable Trust (Cokato Manor Home Health)
- Cokato Charitable Trust (Edgewood Gables)
- Cokato Charitable Trust (Brookridge)
- Cokato Chiropractic, P.a.
- Cokato Drug LLC (Cokato Keaveny Drug)
- Cokato Eye Center, Inc.
- Dimensions in Recovery II
- Paul G Eklof, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.