COKATO MANOR HOME HEALTH
NPI 1407887953
Home Health in Cokato, MN

NPI Status: Active since July 05, 2006

Contact Information

511 COKATO ST NW
COKATO, MN
ZIP 55321
Phone: (320) 286-3049
Fax: (320) 286-2307

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  • Organization
  • Home Health
  • CLIA Number: 24D0666669
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About COKATO MANOR HOME HEALTH

This page provides the complete NPI Profile along with additional information for Cokato Manor Home Health, a provider established in Cokato, Minnesota operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1407887953 assigned on July 2006. The practitioner's primary taxonomy code is 251E00000X with license number 03746 (MN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Cokato Manor Home Health. The authorized official of this NPI record is James Broich (Ceo/administrator)

NPI
1407887953
Provider Legal Name
COKATO CHARITABLE TRUST
Other Organization Name
COKATO MANOR HOME HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
511 COKATO ST NW COKATO, MN 55321
Location Phone
(320) 286-3049
Location Fax
(320) 286-2307
Mailing Address
182 SUNSET AVE NW COKATO, MN 55321
Mailing Phone
(320) 286-2158
Mailing Fax
(320) 286-2307
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-05-2006
Last Update Date
09-08-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
03746
License State
MN
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES BROICH

Authorized Official Title
CEO/ADMINISTRATOR
Authorized Official Phone
(320) 286-2158

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
167905OTHER (01)MNUCARE
5Z74C0OTHER (01)MNBCBS
248058MEDICARE PIN (08)MN 
60-12085OTHER (01)MNIV THERAPY
030802014OTHER (01)MNPRIME WEST
249075700MEDICAID (05)MN 
30437OTHER (01)MNHEALTH PARTNERS
5900013OTHER (01)MNMEDICA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0666669
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
TRESHA MELQUIST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cokato Manor Home Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COKATO MANOR HOME HEALTH

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407887953, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 6 + 8 + 1 + 4 + 9 + 1 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1407887953.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407887953, enumerated as an "organization" on July 05, 2006.

The provider is located at 511 COKATO ST NW COKATO, MN 55321 and the phone number is (320) 286-3049.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.