Homestead at Rochester, Inc.

Organization Active NPI Skilled Nursing Facility · Rochester, MN

NPI 1013347780 · NPPES record last updated Jan 16, 2015

Key facts

NPI
1013347780
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
HOMESTEAD AT ROCHESTER, INC.
Practice address
1900 Ballington Blvd NW
Rochester, MN 55901-5202
Phone
(507) 535-2000
NPI assigned
Nov 18, 2013
Organization subpart
No

Authorized official

Name
Nancy Gavin
Title
Assistant Secretary
Phone
(952) 983-4249

Owners & managing parties with NPI records 3

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

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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

Medicare Care Compare: Nursing home

Listed as
Rochester Rehabilitation and Living Center CCN 245626
Overall star rating
★☆☆☆☆ 1 of 5
Health inspections
★☆☆☆☆ 1 of 5
Staffing
★★★★☆ 4 of 5
Quality measures
★★☆☆☆ 2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 7, 2015
Medicare certification status
Active (Provider of Services file)
Certified beds
56 · 35.4 residents per day on average
Chain
Volunteers of America Senior Living (6 facilities)
Penalties (3 years)
1 · fines totaling $0

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Skilled nursing facility certification: CCN 245626

Legal name
HOMESTEAD AT ROCHESTER, INC.
Doing business as
ROCHESTER REHABILITATION AND LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 7, 2015
Last certification
Apr 22, 2025
Beds
56
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Volunteers of America
Organization structure
Corporation · Non-profit
Incorporated
Mar 6, 2003 in MN
Enrollment address
1900 Ballington Blvd. NW
Rochester, MN 55901-5202
Nursing home name
ROCHESTER REHABILITATION AND LIVING CENTER
Affiliated entity
VOLUNTEERS OF AMERICA SENIOR LIVING

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Karen Erickson
Individual
Corporate Director
Director
Jul 1, 2022
Karen Hackett
Individual
Corporate Director
Director
Jul 1, 2022
Beth Ann Mullen
Individual
Corporate Director
Director
Jul 1, 2020
Michael W King
Individual
Corporate Officer
Ceo
Jul 1, 2010
Corporate Director
Director, Board Member
Jul 1, 2010
Faith Ann Nutz
Individual
Corporate Officer
Ass'T Secretary/Ass'T Treasurer
Sep 1, 2018
Adp of the SNF Sep 1, 2018
Jeanne Louise Peterson
Individual
Corporate Director
Director
Jul 1, 2017
Voris Vigee
Individual
Corporate Director
Director
Jul 1, 2022
Ann D Robinson
Individual
Operational/Managerial Control Jan 2, 2024
Adp of the SNF Jan 2, 2024
Patrick N Sheridan
Individual
Corporate Director
Director
Jul 1, 2023
Shawn Bloom
Individual
Corporate Director
Director, Board Member
Dec 1, 2012
Paul Soczynski
Individual
Corporate Officer
Ass'T Secretary/Ass'T Treasurer
Jul 1, 2024
Operational/Managerial Control
Sr Vice President, Healthcare
Mar 1, 2024
Adp of the SNF Mar 1, 2024
Derrick N Perkins
Individual
Corporate Director
Director
Jul 1, 2019
Keith R Knapp
Individual
Corporate Director
Director
Jul 1, 2016
Volunteers of America Care Facilities
Organization · Eden Prairie, MN
Non-profit, Owned by another organization or individual
5% Or Greater Direct Ownership Interest Feb 19, 2013 100%
Michael Anderson
Individual
Operational/Managerial Control Mar 4, 2024
Adp of the SNF Mar 4, 2024
Nancy Sue Rase
Individual
Corporate Director
Director
Jul 1, 2016
Anupam Chandra
Individual
Operational/Managerial Control Apr 1, 2015
Adp of the SNF Feb 3, 2025
Volunteers of America National Services
Organization · Eden Prairie, MN
Non-profit, Chain home office
5% Or Greater Indirect Ownership Interest Mar 6, 2003 100%
Adp of the SNF Mar 19, 2025
Patti Arnold
Individual
Corporate Director
Director
Jul 1, 2016
Joseph Anthony Budzynski
Individual
Corporate Officer
Ass'T Secretary/Ass'T Treasurer
Apr 2, 2012
Nancy a Gavin
Individual
Corporate Officer
Assistant/Secretary/Treasurer
Nov 11, 2011
Adp of the SNF Nov 11, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131121000063 MN Part a Provider - Skilled Nursing Facility 1456587492 Practice locations: Rochester, MN

National Provider Directory

Tax ID family
Homestead at Rochester Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

1900 Ballington Blvd NW
Rochester, MN 55901-5202

Mailing address

1900 Ballington Blvd NW
Rochester, MN 55901-5202

Other names

  • Rochester Rehabilitation and Living Center Doing business as

Other providers in Rochester, MN

All providers in Rochester, MN · Skilled Nursing Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.