Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camilia Rose Group Home

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1447390570

Camilia Rose Group Home is an Intellectual Disabilities Intermediate Care Facility in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

1555 118th Ln NW
Coon Rapids, MN 55448-7579
Phone: (763) 862-5436
Fax: (763) 754-0332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 1075259 (MN)

Record details

NPI number1447390570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Winbauer — Controller · (763) 862-5436
Other names Mary T Associates
NPI enumeratedFebruary 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1555 118th Ln Nw, Coon Rapids, MN 55448-7579

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