NPIMap

Organization Active NPI

Charterhouse Inc

  • Skilled Nursing Facility
  • Rochester, MN
National Provider Identifier
1083601843
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
327208 Issued in MN
Legal business name
CHARTERHOUSE INC
Practice address
211 2ND St NW
Rochester, MN 55901-2807
Phone
(507) 266-8572
Fax
(507) 266-6827
NPI assigned
Oct 5, 2005
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Christopher Dale Rustad
Title
Treasurer/ Administrator
Phone
(507) 266-7862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 327208 MN Primary

Addresses

Primary practice location

211 2ND St NW
Rochester, MN 55901-2807

Mailing address

211 2ND St NW
Rochester, MN 55901-2807
Phone (507) 266-8572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000701 MN Part A Provider - Skilled Nursing Facility 2062510050 Practice locations: Rochester, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083601843. Details of each certification follow.

Skilled nursing facility certification: CCN 245282

Legal name
CHARTERHOUSE INC
Doing business as
LIFE CARE SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jul 1, 1985
Last certification
Oct 16, 2024
Beds
32
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1981 in MN
Enrollment address
211 2ND St NW
Rochester, MN 55901-2807
Nursing home name
CHARTER HOUSE INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Charter House IncCCN 245282 · 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
Ownership
Non profit - Corporation
Certified
Jul 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3213.2 residents per day on average
Penalties (3 years)
1Fines totaling $8,824

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

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 50

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

NameRoleSinceShare
Rafael Fonseca Individual Managing Control - Governing Body Jan 1, 2003
Amy Hara Individual Managing Control - Governing Body Jan 1, 2003
Charles Smith Individual Managing Control - Governing Body Jan 1, 2003
Nneka Comfere Individual Managing Control - Governing Body Jan 1, 2003
Christina Zorn Individual Managing Control - Governing Body Jan 1, 2003
Katherine Baicker Individual Managing Control - Governing BodySole Member Jan 1, 2003
Tamara E Buechler Individual Corporate DirectorBoard Member Mar 9, 2022
Johnathan Poe Individual Corporate DirectorBoard Member Jan 17, 2017
Anne Sweeney Individual Managing Control - Governing Body Jan 1, 2003
Julie Gerberding Individual Managing Control - Governing Body Jan 1, 2003
Sarah McLaughlin Individual Managing Control - Governing Body Jan 1, 2003
Christopher Rustad Individual Corporate OfficerSecretary & Treasurer Dec 1, 2020
Corporate DirectorBoard Member Dec 1, 2020
Adp of the SNF Apr 16, 2025
Robert J Pignolo Individual Corporate DirectorBoard Member Jan 1, 2020
Donald Remy Individual Managing Control - Governing Body Jan 1, 2003
Natalie Caine Individual Managing Control - Governing Body Jan 1, 2003
Sherry Hubert Individual Managing Control - Governing Body Jan 1, 2003
Roshanak Didehban Individual Managing Control - Governing Body Jan 1, 2003
Brandon P. Verdoorn Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF May 5, 2025
Life Care Services LLC Organization, Des Moines, IA Management services company Operational/Managerial Control Feb 1, 2025
Jed Davis Individual Managing Control - Governing Body Jan 1, 2003
Matthew Callstrom Individual Managing Control - Governing Body Jan 1, 2003
Charanjit Rihal Individual Managing Control - Governing Body Jan 1, 2003
Richard Gray Individual Managing Control - Governing Body Jan 1, 2003
Michael Powell Individual Managing Control - Governing Body Jan 1, 2003
Brent a Bauer Individual Corporate DirectorBoard Member Jan 1, 2021
Eric Schmidt Individual Managing Control - Governing Body Jan 1, 2003
Richard Davis Individual Managing Control - Governing Body Jan 1, 2003
Brittney Voll Individual Operational/Managerial Control Jan 1, 2025
Jay Alix Individual Managing Control - Governing BodySole Member Jan 1, 2003
Ajani Dunn Individual Managing Control - Governing Body Jan 1, 2003
Ursula Burns Individual Managing Control - Governing Body Jan 1, 2003
Bridget Forsberg Avikainen Individual Corporate OfficerChair/President Mar 8, 2023
Corporate DirectorBoard Member Mar 8, 2023
Abimbola Famuyide Individual Managing Control - Governing Body Jan 1, 2003
Kent Thielen Individual Managing Control - Governing Body Jan 1, 2003
George Bilicic Individual Managing Control - Governing BodySole Member Jan 1, 2003
Mayo Clinic Organization, Rochester, MN Corporation, Non-profit, Chain home office Operational/Managerial Control Jul 1, 1981
Sally Anne Brown Individual Managing Control - Governing Body Jan 1, 2003
Michael Shannon Individual Managing Control - Governing Body Jan 1, 2003
Kristin Peck Individual Managing Control - Governing Body Jan 1, 2003
Paul Gorman Individual Managing Control - Governing Body Jan 1, 2003
Dennis Dahlen Individual Managing Control - Governing Body Jan 1, 2003
Douglas Baker Individual Managing Control - Governing BodySole Member Jan 1, 2003
Gianrico Farrugia Individual Managing Control - Governing Body Jan 1, 2003
Robin Roberts Individual Managing Control - Governing Body Jan 1, 2003
Martine Rothblatt Individual Managing Control - Governing Body Jan 1, 2003
Nancy Peretsman Individual Managing Control - Governing Body Jan 1, 2003
Nathan K Lebrasseur Individual Corporate DirectorBoard Member Jan 1, 2017
James Francis Individual Managing Control - Governing Body Jan 1, 2003
Amy Williams Individual Managing Control - Governing Body Jan 1, 2003
James Robo Individual Managing Control - Governing Body Jan 1, 2003

Owners & managing parties with NPI records 17

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

View all 17

Facilities with the same owner 95

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

View all 95

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 1

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1083601843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 2ND ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012807",
            "telephone_number": "507-266-8572",
            "fax_number": "507-266-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 2ND ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012807",
            "telephone_number": "507-266-8572",
            "fax_number": "507-266-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTERHOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "RUSTAD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "TREASURER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "507-266-7862"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "327208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.