CREEKSIDE COTTAGE
NPI 1063797215
Assisted Living Facility in Coon Rapids, MN
About Creekside Cottage NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREEKSIDE COTTAGE (NPI 1063797215) is a healthcare organization registered as an assisted living facility in Coon Rapids, Minnesota and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Ruth Dahl, Director Of Housing With Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2107007
Creekside Cottage Assisted Living · Coon Rapids, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Margaret Place Limited Partnership's NPI number?
The NPI number for Margaret Place Limited Partnership is 1063797215. It was assigned to this organization in the NPPES registry on October 19, 2011. The provider is doing business as Creekside Cottage.
Where is Margaret Place Limited Partnership located?
Margaret Place Limited Partnership is located at 1190 117th Ave NW, Coon Rapids, MN 55448. The listed phone number is (763) 754-6899.
What is Margaret Place Limited Partnership's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Margaret Place Limited Partnership hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2107007) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Margaret Place Limited Partnership was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Creekside Cottage · NPI 1063797215
Assisted Living Facility organization in Coon Rapids, Minnesota. Organization record, active in the CMS NPPES registry since October 19, 2011.
## Identity
- **NPI:** 1063797215 (Entity type: Organization)
- **Enumerated:** October 19, 2011
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Margaret Place Limited Partnership
- **Organization subpart:** No
- **Authorized official:** Ruth Dahl, DIRECTOR OF HOUSING WITH SERVICES
## Practice location
- **Address:** 1190 117TH AVE NW, Coon Rapids, MN 55448-2383
- **Phone:** (763) 754-6899
## Record status
- **NPPES last updated:** October 19, 2011
- **Other identifiers:** Medicaid A287418300 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063797215) · Data from the CMS NPPES public registry.