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MARY T HOSPICE
NPI 1629214515
Hospice Care, Community Based in Coon Rapids, MN

Active since December 23, 2008CLIA 24D1099523 · Waiver
1555 118TH LN NW, COON RAPIDS, MN 55448(763) 754-2505(763) 862-5472 Get Directions Write a Review

NPPES record last updated: December 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary T Hospice NPPES

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

MARY T HOSPICE (NPI 1629214515) is a healthcare organization registered as a hospice care, community based in Coon Rapids, Minnesota and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Mary T Tjosvold, President And Stockholder, as its authorized official.

NPPES Registry Identity

NPI1629214515
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameMARY T HOSPICE
Location Address1555 118TH LN NWCoon Rapids, MN 55448-7579
Mailing Address1555 118th Ln NwCoon Rapids, MN 55448-7579 · (763) 754-2505 · Fax (763) 755-3631
Phone(763) 754-2505
Fax(763) 862-5472
Organization SubpartYesParent: Mary T. Associates
Authorized OfficialMary T TjosvoldPresident And Stockholder · (763) 754-2505
Enumeration DateDecember 23, 2008
✔ NPI 1629214515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in MN · 342612
1555 118TH LN NW, Coon Rapids, MN 55448
Open in Google Maps ↗

Other Identifiers 1

Other342612MN · Hospice, State License

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 24D1099523

Mary T Hospice · Coon Rapids, MN
Active · expires May 14, 2027
CLIA Number24D1099523
Laboratory TypeHospice
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorLisa Madsen
Laboratory Phone(763) 772-9963
Laboratory LocationMary T Hospice11800 Xeon Boulevard NW, Coon Rapids, MN 55448
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Mary T Hospice (CMS certification number 241587), from CMS Care Compare.

Mary T Hospice

Hospice · Coon Rapids, MN
OwnershipFor-Profit
CMS Certification Number241587
CMS RegionRegion 5
Medicare-Certified SinceFebruary 17, 2010
Average Daily Census16patients per day on average
Location11777 Xeon Blvd NWCoon Rapids, MN 55443 · Anoka County
Phone(763) 516-1027
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home52%
Assisted living facility14%
Nursing facility0%
Skilled nursing facility33%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations1%
Patients with cancer
23%
Patients with dementia
30%
Patients with circulatory or heart disease
18%
Patients with respiratory disease
0%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice Visits in the Last Days of Life
34 patient stays
58.8%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
8/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 70
67.9%
Early live discharges
National percentile 19
0%
Late live discharges
National percentile 88
57.1%
Burdensome transitions, Type 1
National percentile 83
14.3%
Burdensome transitions, Type 2
National percentile 100
14.3%
Per-beneficiary spending
National percentile 68
$19,885
Nurse care minutes per routine home care days
National percentile 76
15 minutes
Skilled nursing minutes on weekends
National percentile 46
7.6%
Visits near death
National percentile 13
78.9%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES 4

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

CAMILIA ROSE GROUP HOME
Intermediate Care Facility, Intellectual Disabilities
1555 118TH LN NW
COON RAPIDS, MN 55448
Anoka County (763) 862-5436
MARGARET PLACE LIMITED PARTNERSHIP
Assisted Living Facility
1555 118TH LN NW
COON RAPIDS, MN 55448
Anoka County (763) 754-2505
OUTREACH SIX ACRES INC
Intermediate Care Facility, Intellectual Disabilities
1555 118TH LN NW
MINNEAPOLIS, MN 55448
Anoka County (763) 754-2505
MARY T ASSOCIATES INC
Home Health
1555 118TH LN NW
COON RAPIDS, MN 55448
Anoka County (763) 862-5436

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 Mary T Hospice's NPI number?

The NPI number for Mary T Hospice is 1629214515. It was assigned to this organization in the NPPES registry on December 23, 2008.

Where is Mary T Hospice located?

Mary T Hospice is located at 1555 118th Ln NW, Coon Rapids, MN 55448. The listed phone number is (763) 754-2505.

What is Mary T Hospice's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Mary T Hospice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1099523) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mary T Hospice a Medicare-certified hospice?

Yes. Mary T Hospice is a Medicare-certified hospice (CMS certification number 241587), certified since February 17, 2010.

When was this NPI record last updated?

The NPPES record for Mary T Hospice was last updated on December 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.