Minnesota : DHS		  
 
      
    
      
 


License Details

Basic license details.
Mary T Associates Inc License status: Active
11800 XEON BLVD NW
Coon Rapids, MN 55448
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(763) 754-2505
Anoka County

License number: 1073083
License holder: Mary T Associates Inc
License Holder Entity Identification Number(s): 34595
License status: Active
Type of service: Home and Community Based Services
Initial effective date: January 1, 2014
Last renewed or updated on: January 1, 2025
Next renewal due: December 31, 2025


Licensed to provide

Basic Support Services:
Individualized home supports

In-Home Support Services:
Semi-independent living skills
Individualized home supports
Individualized home supports with training
Individualized home supports with family training

Residential Supports and Services:
Foster Care services or supported living services
Residential services in an ICF/DD
Community residential services
Family residential services

Restrictions: None

Satellite Locations

Satellite License Number: 1073085 (Home and Community Based Services - Community Residential Setting)
Mary T Associates, Inc
360 Lilac Lane
Shoreview, MN 55126

Satellite License Number: 1096242 (Home and Community Based Services - Residential Services Facility)
Mary T Associates Inc Rice Creek
5402 FAIRVIEW AVE N
Minneapolis, MN 55429

Satellite License Number: 1095270 (Home and Community Based Services - Community Residential Setting)
Mary T Associates Inc Adams
729 ADAMS ST NE
Minneapolis, MN 55413

Satellite License Number: 1073092 (Home and Community Based Services - Residential Services Facility)
Mary T Associates, Inc.-Minnehaha Creek
8949 48th Ave N
New Hope, MN 55428

Satellite License Number: 1096238 (Home and Community Based Services - Residential Services Facility)
Mary T Associates Inc Bloomington
10633 KELL AVE S
Minneapolis, MN 55437

Satellite License Number: 1073093 (Home and Community Based Services - Residential Services Facility)
Mary T Associates, Inc.-Sand Creek
5555 Westbrook Rd
Golden Valley, MN 55427

Satellite License Number: 1073084 (Home and Community Based Services - Community Residential Setting)
Mary T & Associates Inc.
4408 Victoria St
Shoreview, MN 55126

Satellite License Number: 1096240 (Home and Community Based Services - Residential Services Facility)
Mary T Associates Inc Plymouth East
11550 52ND AVE N
Minneapolis, MN 55442

Satellite License Number: 1073091 (Home and Community Based Services - Residential Services Facility)
Mary T Associates, Inc.-Gladson
7350 Ridgeway Rd
Golden Valley, MN 55427

Satellite License Number: 1095271 (Home and Community Based Services - Community Residential Setting)
Mary T Associates Inc 4th
7425 4TH AVE S
Minneapolis, MN 55423

Satellite License Number: 1073089 (Home and Community Based Services - Community Residential Setting)
Mary T
11025 Thomas Ave S
Bloomington, MN 55431

Satellite License Number: 1073088 (Home and Community Based Services - Community Residential Setting)
Mary T
9020 Colfax Ave S
Bloomington, MN 55420

Satellite License Number: 1096239 (Home and Community Based Services - Residential Services Facility)
Mary T Associates Inc Brooklyn Center
507 69TH AVE N
Minneapolis, MN 55430

Satellite License Number: 1119976 (Home and Community Based Services - Residential Services Facility)
Mary T Associates Inc Camilia Rose Group Home
11820 XEON BLVD NW
Coon Rapids, MN 55448

Satellite License Number: 1100755 (Home and Community Based Services - Community Residential Setting)
Mary T Associates Inc Olive
2735 OLIVE LN N
Plymouth, MN 55447

Satellite License Number: 1073086 (Home and Community Based Services - Community Residential Setting)
Mary T Inc
3109 Winnetka Ave N
Crystal, MN 55428

Satellite License Number: 1123803 (Home and Community Based Services - Residential Services Facility)
Mary T & Associates Inc Camilla Rose Cottage
1154 117TH AVE NW
Coon Rapids, MN 55448

Satellite License Number: 1073090 (Home and Community Based Services - Residential Services Facility)
Mary T Associates, Inc.-Albert Place
9911 13th Ave S
Bloomington, MN 55425

Satellite License Number: 1073087 (Home and Community Based Services - Community Residential Setting)
Mary T Associates Inc Lynbrook Site
1009 82nd Ave North
Brooklyn Park, MN 55444

Satellite License Number: 1096243 (Home and Community Based Services - Residential Services Facility)
Mary T Associates Inc Trillium West
306 Westgate Dr
Winsted, MN 55318

Additional information
Certification: Adult Mental Health Certification - Community Residential Setting - Site Specific
Note: For additional information relating to providers who are licensed by an authority other than the Minnesota Department of Human Services, please contact the licensing authority directly. A directory of county agencies is online.

Public documents available for this license.
Licensing Actions and Maltreatment Investigation Memorandums
Documents below appear for four years from the date of posting
Document type Date issued Format
Maltreatment Investigative Memorandum 3/15/2024 HTML
Correction Order 5/17/2022 HTML
Maltreatment Investigative Memorandum 8/11/2021 HTML


Human Services (DHS) licensing web page statement:

The information found on this web page is public information. Types of public information you will find on this website include:

  • Maltreatment investigation memorandum*
  • Licensing actions for license types other than family child foster care, including: conditional licenses, fines, revocations, indefinite suspensions, and temporary immediate suspensions (See the glossary of terms for an explanation of each type of licensing action.) Please note that licensing actions for family child foster care are public documents and available upon request from DHS.
  • Summary of reviews and investigations for family child care**
  • Decisions issued by DHS to appeals of violations cited on correction orders and conditional licenses
  • Final agency decisions for licensing actions
  • Correction Orders for license types other than family child care, child foster care, adult foster care, and family adult day service programs. Please note that correction orders are public documents and available upon request from DHS, the licensing county, or the licensing agency

*Maltreatment allegations involving a family child care or family child foster care program are conducted by the County in which the alleged incident occurred.

**Summary of reviews and investigations for all other provider types will be added in the future.

Determinations may be subject to appeal. Not all records related to the license are included on this web page. If you view information that you believe is not public, notify DHS Licensing Division immediately by calling (651) 431-6500.

Minnesota Department of Human Services website accessibility disclaimer: The Minnesota Department of Human Services has a policy of making the information on its websites accessible to people with disabilities. Pursuant to this commitment, DHS implements the provisions of the Americans with Disabilities Act and the Minnesota Human Rights Act. If you experience any difficulty accessing the content, call (651) 431-6500 or send an electronic mail message to DHS.LicensingDivision@state.mn.us to receive the subject matter in an alternative format. Indicate the nature of your accessibility problem, your preferred format, the license number of the facility, type and date of the document and your contact information so DHS can reach you with any questions in fulfilling your request.