Organization Active NPI

Aneta Nursing Home Incorporated

  • Skilled Nursing Facility
  • Aneta, ND
National Provider Identifier
1083794432
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1069B Issued in ND
Legal business name
ANETA NURSING HOME INCORPORATED
Practice address
113 5TH St S
Box 287
Aneta, ND 58212-4226
Phone
(701) 326-4234
Fax
(701) 326-4529
NPI assigned
Oct 17, 2006
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Stephanie R Carlson
Title
Administrator
Phone
(701) 326-4234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 1069B ND
Skilled Nursing Facility 314000000X 1069B ND Primary

Addresses

Primary practice location

113 5TH St S
Box 287
Aneta, ND 58212-4226

Mailing address

PO Box 287
113 S 5TH St
Aneta, ND 58212
Phone (701) 326-4234

Other identifiers 1

IdentifierTypeStateIssuer
030322MedicaidND

Other names 1

  • Aneta Parkview Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000450 ND Part A Provider - Skilled Nursing Facility 8729980677 Practice locations: Aneta, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083794432. Details of each certification follow.

Skilled nursing facility certification: CCN 355096

Legal name
ANETA NURSING HOME INCORPORATED
Doing business as
ANETA PARKVIEW HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 7, 1991
Last certification
Nov 6, 2024
Beds
35
Ownership / control type
Nonprofit Corporation
Organization structure
OtherNon-profit
Enrollment address
113 5TH St S
Aneta, ND 58212
Nursing home name
ANETA PARKVIEW HEALTH CTR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aneta Parkview Health CtrCCN 355096 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 7, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3534.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0668181Aneta Parkview Health Center113 5TH St S, Aneta, ND 58212Certificate of waiverAug 31, 2026

National Provider Directory

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
Deborah Duchscherer Individual Corporate OfficerBoard President Nov 1, 2004 20%
Penny Millspaugh Individual Corporate Officer Nov 1, 2023 20%
Paul Retzlaff Individual Corporate OfficerBoard Member Nov 1, 1994 20%
Jonathon H Berg Individual Operational/Managerial Control Nov 1, 1994
Adp of the SNF Nov 1, 1994
Samantha Bratlie Individual Operational/Managerial Control Feb 18, 2008
Adp of the SNF Sep 9, 2019
Stephanie Carlson Individual Operational/Managerial Control Feb 18, 2008
Adp of the SNF Feb 18, 2008
Jasmine Strand Individual Corporate OfficerBoard Memeber Nov 1, 2020 20%
Aneta Nursing Home Incorporated Organization, Aneta, ND Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 1994
Adp of the SNF Jan 9, 2025
Direct Ownership Interest Nov 1, 1994 100%
Rusti Post Individual Corporate OfficerBoard Memeber Nov 1, 2024 20%

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 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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1083794432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "address_2": "113 S 5TH ST",
            "city": "ANETA",
            "state": "ND",
            "postal_code": "58212",
            "telephone_number": "701-326-4234",
            "fax_number": "701-326-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 5TH ST S",
            "address_2": "BOX 287",
            "city": "ANETA",
            "state": "ND",
            "postal_code": "582124226",
            "telephone_number": "701-326-4234",
            "fax_number": "701-326-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANETA NURSING HOME INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-326-4234"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ND",
            "license": "1069B",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1069B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030322",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aneta Parkview Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aneta, ND

Sources for this page

Verify at the official NPI Registry.