Minnewaska Community Homecare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MINNEWASKA COMMUNITY HOMECARE LLC

Practice address

303 7TH St S
Wheaton, MN 56296-1740

Phone

(320) 563-8124

NPI assigned

Sep 6, 2023

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MINNEWASKA LUTHERAN HOMEAs reported in NPPES

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

Authorized official

Name

Michelle Marie Ehrenberg

Title

Administrator

Phone

(320) 239-7156

Specialties & licenses 1

Addresses

Other names 1

• MInnewaska Community Homecare LLC Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033995808. Details of each certification follow.

• CCN 245638 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245638

Legal name

MINNEWASKA COMMUNITY HOMECARE LLC

Doing business as

TRAVERSE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 13, 2024

Last certification

Oct 30, 2024

Beds

44

Ownership / control type

Church Related

Organization structure

LLCNon-profit

Incorporated

Aug 2, 2019 in MN

Enrollment address

303 7TH St S
Wheaton, MN 56296-1740

Nursing home name

TRAVERSE CARE CENTER

Listed as

Traverse Care CenterCCN 245638 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Nov 13, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4426.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Minnewaska Lutheran Home2 organizations share this tax ID, including this one

Part of

Minnewaska Lutheran Home

Other organizations with this tax ID 1

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

• Minnewaska Lutheran Home

  • Skilled Nursing Facility
  • NPI 1356343669
  NPD tax ID

Member of 1

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

• Minnewaska Lutheran Home

  • Skilled Nursing Facility
  • NPI 1356343669

  Member Of

  NPD member

Locations

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.

Owners & managing parties with NPI records 2

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

• Stanley C Gallagher, DO

  • Family Medicine Physician
  • Sisseton, SD
  • NPI 1831125657

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership
• Minnewaska Lutheran Home

  • Skilled Nursing Facility
  • NPI 1356343669

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Clarkfield Care Center

  • Skilled Nursing Facility
  • Clarkfield, MN
  • NPI 1548291404

  Minnewaska Lutheran Home

  CMS ownership
• Sunnyside Nursing Home

  dba Sunnyside Care Center

  • Skilled Nursing Facility
  • Lake Park, MN
  • NPI 1831126374

  Minnewaska Lutheran Home

  CMS ownership

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.

• Patrick E Emery, MD

  • Family Medicine Physician
  • Wahpeton, ND
  • NPI 1144247008
  NPD (past)

Affiliated clinicians 1

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

• Patrick E Emery, MD

  • Family Medicine Physician
  • Wahpeton, ND
  • NPI 1144247008

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1033995808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 7TH ST S",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562961740",
            "telephone_number": "320-563-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 7TH ST S",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562961740",
            "telephone_number": "320-563-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEWASKA COMMUNITY HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNEWASKA LUTHERAN HOME",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "EHRENBERG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-239-7156"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MInnewaska Community Homecare LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Wheaton, MN
• Providers in Wheaton, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.

Verify at the official NPI Registry.