PHS/ COTTAGE GROVE
NPI 1164848362
Assisted Living Facility in Cottage Grove, MN
About Phs/ Cottage Grove NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHS/ COTTAGE GROVE (NPI 1164848362) is a healthcare organization registered as an assisted living facility in Cottage Grove, Minnesota and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Jon Tranby, Payer Relations Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 24D2032751
Phs/Cottage Grove Inc Dba Norris Square · Cottage Grove, 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 Phs/ Cottage Grove's NPI number?
The NPI number for Phs/ Cottage Grove is 1164848362. It was assigned to this organization in the NPPES registry on March 12, 2014. The provider is also known as Norris Square.
Where is Phs/ Cottage Grove located?
Phs/ Cottage Grove is located at 8200 Hadley Ave S, Cottage Grove, MN 55016. The listed phone number is (651) 769-6600.
What is Phs/ Cottage Grove's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Phs/ Cottage Grove hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2032751) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Phs/ Cottage Grove was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Phs/ Cottage Grove · NPI 1164848362
Assisted Living Facility organization in Cottage Grove, Minnesota. Organization record, active in the CMS NPPES registry since March 12, 2014.
## Identity
- **NPI:** 1164848362 (Entity type: Organization)
- **Enumerated:** March 12, 2014
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Norris Square (Other Name)
- **Organization subpart:** No
- **Authorized official:** Jon Tranby, PAYER RELATIONS DIRECTOR
## Practice location
- **Address:** 8200 HADLEY AVE S, Cottage Grove, MN 55016-2697
- **Phone:** (651) 769-6600
## Record status
- **NPPES last updated:** August 18, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164848362) · Data from the CMS NPPES public registry.