Renville Olivia Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RENVILLE OLIVIA HOLDINGS LLC

Doing business as

Olivia Restorative Care Center

Practice address

1003 W Maple Ave
Olivia, MN 56277-1063

Phone

(320) 523-1652

NPI assigned

May 14, 2020

Last updated

Dec 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Rohinsky

Title

President

Phone

(320) 523-1652

Specialties & licenses 1

Addresses

Other names 1

• Olivia Restorative Care Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093337800. Details of each certification follow.

• CCN 245290 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245290

Legal name

RENVILLE OLIVIA HOLDINGS LLC

Doing business as

OLIVIA RESTORATIVE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1985

Last certification

Sep 26, 2024

Beds

60

Ownership / control type

Corporation

Multi-facility organization

Olivia Restorative HCC-Superior

Organization structure

LLCProprietary

Incorporated

Mar 10, 2020 in MN

Enrollment address

1003 W Maple Ave
Olivia, MN 56277-1063

Nursing home name

OLIVIA RESTORATIVE CARE CENTER

Listed as

Olivia Restorative Care CenterCCN 245290 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 1, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6044.5 residents per day on average

Special focus status

SFF Candidate

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Practitioners 4

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.

• Melissa Ann Marvin

  • Family Medicine Physician
  • Olivia, MN
  • NPI 1487281028
  NPD (past)
• Vikas Simon Mittal, MD

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1629038377
  NPD (past)
• Ibrahim A Mujir, M.D.

  • Family Medicine Physician
  • Brooklyn Park, MN
  • NPI 1649367210
  NPD (past)
• James A Young II, MD

  • Family Medicine Physician
  • Saint Paul, MN
  • NPI 1538126107
  NPD (past)

Affiliated clinicians 1

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

• Melissa Ann Marvin

  • Family Medicine Physician
  • Olivia, MN
  • NPI 1487281028

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607126400000",
    "number": "1093337800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W MAPLE AVE",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W MAPLE AVE",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771063",
            "telephone_number": "320-523-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENVILLE OLIVIA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "ROHINSKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-523-1652"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsundstrom@oliviarhcc.com",
            "affiliation": "N",
            "address_1": "1003 W Maple Ave",
            "city": "Olivia",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562771063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Olivia Restorative Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olivia Restorative Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park View Village
• April Pisano, FNP-BC
• Julie Remer, RD, LD, CDE
• Renville County (Renville County Public Health Services)
• Renville County Human Services
• Ridgeview Clinics (Western Orthopaedics & Sports Medicine Consultants)
• Jennifer Elizabeth Robideau, DC
• Marykay Sinner
• Randal P Sparks, DO
• St. Cloud Hospital (CentraCare Kidney Program - Olivia)

• Skilled Nursing Facility in Olivia, MN
• Providers in Olivia, 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 Dec 5, 2020; 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.