Active NPI
Aneta Nursing Home Incorporated
- Skilled Nursing Facility
- Aneta, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1069B
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030322 | Medicaid | ND |
Other names 1
- Aneta Parkview Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Other
- 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 Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 7, 1991
- Medicare certification status
- Active
- Certified beds
- 35
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D0668181 | Aneta Parkview Health Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah Duchscherer | Corporate Officer | Nov 1, 2004 | 20% |
| Penny Millspaugh | Corporate Officer | Nov 1, 2023 | 20% |
| Paul Retzlaff | Corporate Officer | Nov 1, 1994 | 20% |
| Jonathon H Berg | Operational/Managerial Control | Nov 1, 1994 | |
| Adp of the SNF | Nov 1, 1994 | ||
| Samantha Bratlie | Operational/Managerial Control | Feb 18, 2008 | |
| Adp of the SNF | Sep 9, 2019 | ||
| Stephanie Carlson | Operational/Managerial Control | Feb 18, 2008 | |
| Adp of the SNF | Feb 18, 2008 | ||
| Jasmine Strand | Corporate Officer | Nov 1, 2020 | 20% |
| Aneta Nursing Home Incorporated | 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 | Corporate Officer | 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.
-
- Family Medicine Physician
- Grand Forks, ND
- NPI 1073513982
Adp of the SNF, Operational/Managerial 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.
-
- Family Medicine Physician
- Grand Forks, ND
- NPI 1073513982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.