Active NPI
Episcopal Homes on University Avenue, LLC
- Skilled Nursing Facility
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC
- Practice address
- 1860 University Ave W
Saint Paul, MN 55104-3402 - Phone
- (651) 632-8812
- NPI assigned
- May 7, 2014
- Organization subpart
- Yes
- Parent organization
- EPISCOPAL HOME CARE AND SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Karel
- Title
- Coo
- Phone
- (651) 632-8812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1860 University Ave W
Saint Paul, MN 55104-3402
Mailing address
1860 University Ave W
Saint Paul, MN 55104-3402
Other names 1
- Episcopal Church Home The Gardens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140814000182 | MN | Part A Provider - Skilled Nursing Facility | 5092932103 | Practice locations: Saint Paul, MN |
Skilled nursing facility certification: CCN 245625
- Legal name
- EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC
- Doing business as
- EPISCOPAL CHURCH HOME - THE GARDENS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 15, 2015
- Last certification
- Sep 12, 2024
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Episcopal Homes
- Organization structure
- LLC
- Incorporated
- Mar 27, 2013 in MN
- Enrollment address
- 1860 University W Ave
Saint Paul, MN 55104-3402 - Nursing home name
- EPISCOPAL CHURCH HOME THE GARDENS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Episcopal Church Home the Gardens
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 15, 2015
- Medicare certification status
- Active
- Certified beds
- 60
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Part of
- Episcopal Home Care and Services
Locations
490 Lynnhurst Ave E
Saint Paul, MN 55104
Phone (651) 632-8808
Ownership & related parties
All disclosed owners & managing parties 21
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 |
|---|---|---|---|
| Mary E Clem | Corporate Officer | Jan 1, 2017 | |
| Episcopal Homes of Minnesota | 5% Or Greater Indirect Ownership Interest | Mar 27, 2013 | 100% |
| Marvin J Plakut | Corporate Officer | Mar 27, 2013 | 14.29% |
| Carol Forbes | Corporate Director | Nov 1, 2016 | |
| Steven J Mork | Corporate Officer | Jan 12, 2016 | 14.29% |
| Diane D McGowan | Corporate Director | Mar 27, 2013 | 4.55% |
| Jerome O Slawick | Corporate Director | Nov 1, 2016 | |
| Melissa Gilbertson | Corporate Director | Nov 1, 2016 | |
| Eh Services Inc | Operational/Managerial Control | Mar 27, 2013 | 100% |
| Wells Fargo Bank | 5% Or Greater Mortgage Interest | May 1, 2013 | 74.52% |
| Brian T Ostenso | Corporate Director | Nov 1, 2015 | |
| Peter L Gove | Corporate Director | Nov 1, 2016 | |
| Lois J Cutler | Corporate Director | Nov 1, 2016 | |
| Episcopal Homes on University Avenue, LLC | 5% Or Greater Direct Ownership Interest | Mar 27, 2013 | 100% |
| John T Henry | Corporate Officer | Oct 19, 2015 | 14.29% |
| Rebecca Hawthorne | Corporate Director | Nov 1, 2017 | |
| Sarah J Nowlin | Corporate Director | Mar 27, 2013 | 4.55% |
| James Huber | Corporate Director | Nov 1, 2017 | |
| Keanan Franco | W-2 Managing Employee | Oct 27, 2015 | 100% |
| Episcopal Home Care and Services | 5% Or Greater Indirect Ownership Interest | Mar 27, 2013 | 100% |
| Thomas P Hove | Corporate Director | Mar 27, 2013 | 4.55% |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Oakdale, MN
- NPI 1386355469
Episcopal Homes of Minnesota
-
- Skilled Nursing Facility
- Saint Paul, MN
- NPI 1487711321
Eh Services Inc, Episcopal Homes of Minnesota
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1083604722
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1346771920
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1346771920
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399420800000",
"number": "1104236512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043402",
"telephone_number": "651-632-8812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EPISCOPAL HOME CARE AND SERVICES",
"enumeration_date": "2014-05-07",
"last_updated": "2014-05-07",
"status": "A",
"authorized_official_last_name": "KAREL",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "651-632-8812"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Episcopal Church Home The Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.