Active NPI
Homestead at Rochester, Inc.
Doing business as Rochester Rehabilitation and Living Center
- Skilled Nursing Facility
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HOMESTEAD AT ROCHESTER, INC.
- Doing business as
- Rochester Rehabilitation and Living Center
- Practice address
- 1900 Ballington Blvd NW
Rochester, MN 55901-5202 - Phone
- (507) 535-2000
- NPI assigned
- Nov 18, 2013
- Last updated
- Jan 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Gavin
- Title
- Assistant Secretary
- Phone
- (952) 983-4249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1900 Ballington Blvd NW
Rochester, MN 55901-5202
Mailing address
1900 Ballington Blvd NW
Rochester, MN 55901-5202
Other names 1
- Rochester Rehabilitation and Living Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131121000063 | MN | Part A Provider - Skilled Nursing Facility | 1456587492 | Practice locations: Rochester, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013347780. Details of each certification follow.
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
- 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
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Rochester Rehabilitation and Living Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 7, 2015
- Medicare certification status
- Active
- Certified beds
- 56
- Chain
- Volunteers of America Senior Living
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Homestead at Rochester Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Homestead at Rochester
- Assisted Living Facility
- Rochester, MN
- NPI 1881265189
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Horizons Carc Center
- Skilled Nursing Facility
- Eckert, CO
- NPI 1285795336
Member Of
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Erickson | Corporate Director | Jul 1, 2022 | |
| Karen Hackett | Corporate Director | Jul 1, 2022 | |
| Beth Ann Mullen | Corporate Director | Jul 1, 2020 | |
| Michael W King | Corporate Officer | Jul 1, 2010 | |
| Corporate Director | Jul 1, 2010 | ||
| Faith Ann Nutz | Corporate Officer | Sep 1, 2018 | |
| Adp of the SNF | Sep 1, 2018 | ||
| Jeanne Louise Peterson | Corporate Director | Jul 1, 2017 | |
| Voris Vigee | Corporate Director | Jul 1, 2022 | |
| Ann D Robinson | Operational/Managerial Control | Jan 2, 2024 | |
| Adp of the SNF | Jan 2, 2024 | ||
| Patrick N Sheridan | Corporate Director | Jul 1, 2023 | |
| Shawn Bloom | Corporate Director | Dec 1, 2012 | |
| Paul Soczynski | Corporate Officer | Jul 1, 2024 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Derrick N Perkins | Corporate Director | Jul 1, 2019 | |
| Keith R Knapp | Corporate Director | Jul 1, 2016 | |
| Volunteers of America Care Facilities | 5% Or Greater Direct Ownership Interest | Feb 19, 2013 | 100% |
| Michael Anderson | Operational/Managerial Control | Mar 4, 2024 | |
| Adp of the SNF | Mar 4, 2024 | ||
| Nancy Sue Rase | Corporate Director | Jul 1, 2016 | |
| Anupam Chandra | Operational/Managerial Control | Apr 1, 2015 | |
| Adp of the SNF | Feb 3, 2025 | ||
| Volunteers of America National Services | 5% Or Greater Indirect Ownership Interest | Mar 6, 2003 | 100% |
| Adp of the SNF | Mar 19, 2025 | ||
| Patti Arnold | Corporate Director | Jul 1, 2016 | |
| Joseph Anthony Budzynski | Corporate Officer | Apr 2, 2012 | |
| Nancy a Gavin | Corporate Officer | Nov 11, 2011 | |
| Adp of the SNF | Nov 11, 2011 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, MN
- NPI 1306813282
Adp of the SNF, Operational/Managerial Control
-
dba Valley Manor Care Center
- Skilled Nursing Facility
- Montrose, CO
- NPI 1053332403
5% Or Greater Direct Ownership Interest
-
dba Horizons Carc Center
- Skilled Nursing Facility
- Eckert, CO
- NPI 1285795336
5% Or Greater Direct Ownership Interest
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Anoka Rehabilitation and Living Center
- Skilled Nursing Facility
- Anoka, MN
- NPI 1326069642
Volunteers of America National Services
-
dba Valley Manor Care Center
- Skilled Nursing Facility
- Montrose, CO
- NPI 1053332403
Volunteers of America National Services
-
dba Horizons Carc Center
- Skilled Nursing Facility
- Eckert, CO
- NPI 1285795336
Volunteers of America National Services
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, MN
- NPI 1306813282
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, MN
- NPI 1306813282
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, MN
- NPI 1598742306
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421366400000",
"number": "1013347780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 BALLINGTON BLVD NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559015202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 BALLINGTON BLVD NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559015202",
"telephone_number": "507-535-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESTEAD AT ROCHESTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-18",
"last_updated": "2015-01-16",
"status": "A",
"authorized_official_last_name": "GAVIN",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "952-983-4249"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rochester Rehabilitation and Living Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.