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Mary T Associates Inc
Intellectual Disabilities Intermediate Care Facility in Coon Rapids, Minnesota
NPI 1770643694

Mary T Associates Inc is a Intellectual Disabilities Intermediate Care Facility based in Coon Rapids, MN. Mary T Associates Inc practices in Coon Rapids, MN. The NPI Number for Mary T Associates Inc is 1770643694 and holds a License No. 331577 (Minnesota).

The current practice location address for Mary T Associates Inc is 1555 118Th Ln Nw, Coon Rapids, MN and can be reached out via phone at 763-862-5436 and via fax at 763-754-0332. You can also correspond with Mary T Associates Inc through the mailing address at 1555 118TH LN NW, COON RAPIDS, MN - 55448-7579 (mailing address contact number: 763-862-5436).

Location: 1555 118Th Ln Nw, Coon Rapids, MN, 55448-7579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770643694
Provider Name
Mary T Associates Inc
Credential
Provider Entity Type
Organization
Address
1555 118Th Ln Nw, Coon Rapids, MN, 55448-7579
Phone Number
763-862-5436
Fax Number
763-754-0332
Provider Enumeration Date
12/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
972525300 05 MN
131415 01 MN U CARE HHA
472845900 05 MN
612745200 05 MN
102207 01 MN HEALTH PARTNERS
136968 01 MN U CARE PCA
9394AB 01 MN BCBS
104337 01 FM U CARE FC
672745000 05 MN
642845200 05 MN
institution
Provider Business Practice Location Address Details
Address
1555 118Th Ln Nw
City
Coon Rapids
State
Minnesota
Zip
55448-7579
Phone Number
763-862-5436
Fax Number
763-754-0332
person
Provider Business Mailing Address Details
Address
1555 118Th Ln Nw
City
Coon Rapids
State
Minnesota
Zip
55448-7579
Phone Number
763-862-5436
Fax Number
763-754-0332
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
801456 (Minnesota)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
331577 (Minnesota)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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