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

Mary T Associates Inc

Organization Home Health Agency · NPI 1770643694

Mary T Associates Inc is a Home Health Agency in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11800 Xeon Blvd NW
Coon Rapids, MN 55448-2061
Phone: (763) 754-2505
Fax: (763) 999-1742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 331577 (MN)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence 801456 (MN)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence 801457 (MN)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence 801459 (MN)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence 801458 (MN)

Record details

NPI number1770643694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Miles — Cfo · (763) 226-3927
NPI enumeratedDecember 11, 2006
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061

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