Organization Active NPI

St. Otto's Care Center Inc

  • Skilled Nursing Facility
  • Little Falls, MN
National Provider Identifier
1013184647
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PENDING Issued in MN
Legal business name
ST. OTTO'S CARE CENTER INC
Practice address
920 4TH St SE
Little Falls, MN 56345-3540
Phone
(320) 632-9281
Fax
(320) 631-4106
NPI assigned
May 13, 2008
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian Bernander
Title
President
Phone
(320) 632-9281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PENDING MN Primary

Addresses

Primary practice location

920 4TH St SE
Little Falls, MN 56345-3540

Mailing address

920 4TH St SE
Little Falls, MN 56345-3540
Phone (320) 632-9281

Other names 1

  • ST. Otto's Care Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161116001023 MN Part A Provider - Skilled Nursing Facility 5991084931 Practice locations: Little Falls, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013184647. Details of each certification follow.

Skilled nursing facility certification: CCN 245257

Legal name
ST OTTOS CARE CENTER INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1983
Last certification
Nov 8, 2024
Beds
86
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 4, 2016 in MN
Enrollment address
920 4TH St SE
Little Falls, MN 56345-3540
Nursing home name
ST OTTOS CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Ottos Care CenterCCN 245257 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8681.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0405967St Otto's Care Center920 SE 4TH Street, Little Falls, MN 56345Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Danna L Potter Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
B2K Communities LLC. Organization, Little Falls, MN Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2016 100%
Adp of the SNF Nov 1, 2016
Organization, Minneapolis, MN Adp of the SNF Nov 20, 2025
Kelsi K Nelson - Holien Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Feb 1, 2023
Karen Jacobs Individual Operational/Managerial Control Nov 1, 2016
Deanna Primus Individual Operational/Managerial Control Nov 1, 2016
Brian P Bernander Individual 5% Or Greater Direct Ownership InterestPresident Aug 4, 2016 50%
Corporate OfficerPresident Aug 4, 2016 50%
Corporate DirectorPresident Aug 4, 2016 50%
Operational/Managerial Control Nov 1, 2016
Adp of the SNF Nov 1, 2016
Direct Ownership Interest Nov 1, 2016
Krista L Bernander Individual 5% Or Greater Direct Ownership InterestSecretary Aug 4, 2016 50%
Corporate OfficerSecretary Aug 4, 2016 50%
Corporate DirectorSecretary Aug 4, 2016 50%
Operational/Managerial Control Nov 1, 2016
Adp of the SNF Nov 1, 2016
Direct Ownership Interest Nov 1, 2016
Michelle Schuett Individual Operational/Managerial Control Jul 23, 2022
Lisa Udy Individual Operational/Managerial Control Dec 1, 2022
Dorothy Bernardy Individual Operational/Managerial Control Nov 1, 2016
Adp of the SNF Nov 1, 2016
Charlie Eggerth Individual Operational/Managerial Control Nov 1, 2016
Adp of the SNF Nov 1, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1013184647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 4TH ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453540",
            "telephone_number": "320-632-9281",
            "fax_number": "320-631-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453540",
            "telephone_number": "320-632-9281",
            "fax_number": "320-631-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. OTTO'S CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "BERNANDER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-632-9281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. Otto's Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ST. Otto's Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.