National Provider Identifier Database

MARY T ASSOCIATES INC
Home Health

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.


Contact Information

MARY T ASSOCIATES INC
1555 118TH LN NW
COON RAPIDS, MN55448-7579
Phone: 763-862-5436
Fax: 763-754-0332
Website:
Specialty Taxonomy Code
* Home Health 251E00000X
Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for MARY T ASSOCIATES INC

NPI Number 1770643694
Legal business name
LBN
MARY T ASSOCIATES INC
Authorized official CONNIE WINBAUER - (CONTROLLER)
Entity Organization
Organization subpart Yes
Enumeration date 12/11/2006
Last updated 02/12/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 331577
  • MN License #: 801456
  • MN License #: 801457
  • MN License #: 801458
  • MN License #: 801459
  • MN Medicaid: 472845900
  • MN Medicaid: 612745200
  • MN Medicaid: 642845200
  • MN Medicaid: 672745000
  • MN Medicaid: 972525300
  • FM Other: 104337 U CARE FC
  • MN Other: 9394AB BCBS
  • MN Other: 102207 HEALTH PARTNERS
  • MN Other: 131415 U CARE HHA
  • MN Other: 136968 U CARE PCA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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