Organization Active NPI

Homestead at Rochester, Inc.

Doing business as Rochester Rehabilitation and Living Center

  • Skilled Nursing Facility
  • Rochester, MN
National Provider Identifier
1013347780
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rochester Rehabilitation and Living CenterCCN 245626 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
5635.4 residents per day on average
Chain
Volunteers of America Senior Living6 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Homestead at Rochester Inc2 organizations share this tax ID, including this one

Other organizations with this 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.

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.

NameRoleSinceShare
Karen Erickson Individual Corporate DirectorDirector Jul 1, 2022
Karen Hackett Individual Corporate DirectorDirector Jul 1, 2022
Beth Ann Mullen Individual Corporate DirectorDirector Jul 1, 2020
Michael W King Individual Corporate OfficerCeo Jul 1, 2010
Corporate DirectorDirector, Board Member Jul 1, 2010
Faith Ann Nutz Individual Corporate OfficerAss'T Secretary/Ass'T Treasurer Sep 1, 2018
Adp of the SNF Sep 1, 2018
Jeanne Louise Peterson Individual Corporate DirectorDirector Jul 1, 2017
Voris Vigee Individual Corporate DirectorDirector 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 DirectorDirector Jul 1, 2023
Shawn Bloom Individual Corporate DirectorDirector, Board Member Dec 1, 2012
Paul Soczynski Individual Corporate OfficerAss'T Secretary/Ass'T Treasurer Jul 1, 2024
Operational/Managerial ControlSr Vice President, Healthcare Mar 1, 2024
Adp of the SNF Mar 1, 2024
Derrick N Perkins Individual Corporate DirectorDirector Jul 1, 2019
Keith R Knapp Individual Corporate DirectorDirector 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 DirectorDirector 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 DirectorDirector Jul 1, 2016
Joseph Anthony Budzynski Individual Corporate OfficerAss'T Secretary/Ass'T Treasurer Apr 2, 2012
Nancy a Gavin Individual Corporate OfficerAssistant/Secretary/Treasurer 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.

Facilities with the same owner 3

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

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 4

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": "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

Verify at the official NPI Registry.