COOK CAREFREE LIVING
NPI 1215711700
Assisted Living Facility in Cook, MN

Active since August 24, 2023CLIA 24D2227188 · Waiver
151 4TH ST SE, COOK, MN 55723(218) 666-0200(218) 666-0203 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cook Carefree Living NPPES

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

COOK CAREFREE LIVING (NPI 1215711700) is a healthcare organization registered as an assisted living facility in Cook, Minnesota and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Jon Monacelli, Svp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1215711700
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOOK CAREFREE LIVING
Location Address151 4TH ST SECook, MN 55723-8094
Mailing Address418 9th St SVirginia, MN 55792-2838 · (218) 741-3013 · Fax (218) 741-1448
Fax(218) 666-0203
Organization SubpartNo
Authorized OfficialJon MonacelliSvp Of Finance · (218) 741-3013
Enumeration DateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
NPI 1215711700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

151 4TH ST SE, Cook, MN 55723

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 24D2227188

Cook Carefree Living · Cook, MN
Active · expires Jun 8, 2027
CLIA Number24D2227188
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorKendra Wheelecor
Laboratory Phone(218) 666-0200
Laboratory LocationCook Carefree Living151 4th Sreet SE, Cook, MN 55723
CLIA data matches this NPI record on: Name Phone
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.

Assisted Living Facility
151 4TH ST SE
COOK, MN 55723

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215711700, enumerated as an "organization" on August 24, 2023.

The provider is located at 151 4TH ST SE COOK, MN 55723 and the phone number is (218) 666-0200.

Assisted Living Facility with taxonomy code 310400000X.