1. Home
  2. Directory
  3. Minnesota
  4. Cokato
  5. Assisted Living Facility
  6. NPI Profile

BROOKRIDGE
NPI 1104040211
Assisted Living Facility in Cokato, MN

Active since April 12, 2007CLIA 24D0969071 · Waiver
180 SUNSET AVE NW, COKATO, MN 55321(320) 286-3196(320) 286-3163 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKRIDGE (NPI 1104040211) is a healthcare organization registered as an assisted living facility in Cokato, Minnesota and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Kathleen J Kratz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104040211
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOKATO CHARITABLE TRUST
Location Address180 SUNSET AVE NWCokato, MN 55321-9601
Mailing Address180 Sunset Ave NwCokato, MN 55321-9601 · (320) 286-3196 · Fax (320) 286-3163
Phone(320) 286-3196
Fax(320) 286-3163
Organization SubpartNo
Authorized OfficialKathleen J KratzOffice Manager · (320) 286-2158
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104040211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · HFID 20830
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
180 SUNSET AVE NW, Cokato, MN 55321
Open in Google Maps ↗

Other Names 1

Doing Business AsBrookridge

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 24D0969071

Brookridge · Cokato, MN
Active · expires Jan 3, 2028
CLIA Number24D0969071
Laboratory TypeOther
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorJessica K. Fudali
Laboratory Phone(320) 286-3190
Laboratory LocationBrookridge180 Sunset Avenue, Cokato, MN 55321
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COKATO CHARITABLE TRUST
Assisted Living Facility
180 SUNSET AVE NW
COKATO, MN 55321
Wright County (320) 286-2158

Frequently 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 Cokato Charitable Trust's NPI number?

The NPI number for Cokato Charitable Trust is 1104040211. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as Brookridge.

Where is Cokato Charitable Trust located?

Cokato Charitable Trust is located at 180 Sunset Ave NW, Cokato, MN 55321. The listed phone number is (320) 286-3196.

What is Cokato Charitable Trust's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Cokato Charitable Trust hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0969071) is associated with this NPI, valid through January 3, 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 Cokato Charitable Trust was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.