NPIMap

Organization Active NPI

Sisters of Mary of the Presentation Long-Term Care

Doing business as SMP Health - St Raphael - Geri Psych

  • Skilled Nursing Facility
  • Valley City, ND
National Provider Identifier
1023493293
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1053B Issued in ND
Legal business name
SISTERS OF MARY OF THE PRESENTATION LONG-TERM CARE
Doing business as
SMP Health - St Raphael - Geri Psych
Sheyenne Care Center
Practice address
979 Central Ave N
Valley City, ND 58072-2149
Phone
(701) 845-8222
Fax
(701) 845-8249
NPI assigned
Jul 29, 2015
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Jon Aus
Title
Finance Director
Phone
(701) 845-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1053B ND Primary

Addresses

Primary practice location

979 Central Ave N
Valley City, ND 58072-2149

Mailing address

979 Central Ave North
Valley City, ND 58072
Phone (701) 845-8222

Other identifiers 2

IdentifierTypeStateIssuer
30423MedicaidND
1455437MedicaidND

Other names 2

  • SMP Health - St Raphael - Geri Psych Doing business as
  • Sheyenne Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030423000044 ND Part A Provider - Skilled Nursing Facility 8921917766 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valley City, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023493293. Details of each certification follow.

Skilled nursing facility certification: CCN 355077

Legal name
SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Doing business as
SMP HEALTH - ST. RAPHAEL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1978
Last certification
Aug 8, 2024
Beds
170
Ownership / control type
Church Related
Multi-facility organization
Sisters of Mary of the Presentation LTC
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 2002 in ND
Enrollment address
979 Central Ave N
Valley City, ND 58072-2149
Nursing home name
SMP HEALTH - ST RAPHAEL
Affiliated entity
SMP HEALTH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
SMP Health - St RaphaelCCN 355077 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Oct 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
170158.6 residents per day on average
Chain
SMP Health5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Sisters of Mary of the Presentation Long-Term Care9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Sisters of Mary of the Presentation Health System Organization, Fargo, ND Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2016 100%
David M Montecuollo Individual Corporate Director Jul 1, 2017
Frank E Redlin Individual Corporate Director Jul 1, 2017
Lynette C Schmitz Individual Corporate Director Jul 1, 2015
Aaron K Alton Individual Corporate OfficerCeo Smphs Apr 1, 2002 100%
Operational/Managerial ControlCeo Apr 1, 2002
Sharon Houle Individual Corporate Director Feb 6, 2020
Becky Hansen Individual Corporate OfficerVice President of Finance Oct 1, 2020 100%
Corporate Director Jul 1, 2021
Matthew Ahrndt Individual W-2 Managing EmployeeChief Executive Officer Oct 1, 2021 100%
Operational/Managerial ControlChief Executive Officer Oct 1, 2021 100%
Paul J Carson Individual Corporate Director Dec 1, 2020

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 3

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 5

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1023493293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 CENTRAL AVE NORTH",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "58072",
            "telephone_number": "701-845-8222",
            "fax_number": "701-845-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 CENTRAL AVE N",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722149",
            "telephone_number": "701-845-8222",
            "fax_number": "701-845-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF MARY OF THE PRESENTATION LONG-TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "AUS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "701-845-8202"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1053B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455437",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMP Health - St Raphael - Geri Psych",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sheyenne Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley City, ND

Sources for this page

Verify at the official NPI Registry.