Organization Active NPI

Episcopal Homes on University Avenue, LLC

  • Skilled Nursing Facility
  • Saint Paul, MN
National Provider Identifier
1104236512
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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 SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2014

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCNon-profit
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 GardensCCN 245625
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 15, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.4 residents per day on average
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

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.

NameRoleSinceShare
Mary E Clem Individual Corporate OfficerChief Advancement Officer Jan 1, 2017
Episcopal Homes of Minnesota Organization, Saint Paul, MN Non-profit 5% Or Greater Indirect Ownership Interest Mar 27, 2013 100%
Marvin J Plakut Individual Corporate OfficerChief Executive Officer Mar 27, 2013 14.29%
Carol Forbes Individual Corporate DirectorTrustee Nov 1, 2016
Steven J Mork Individual Corporate OfficerChief Operating Officer Jan 12, 2016 14.29%
Diane D McGowan Individual Corporate DirectorBoard of Trustees Member Mar 27, 2013 4.55%
Jerome O Slawick Individual Corporate DirectorTrustee Nov 1, 2016
Melissa Gilbertson Individual Corporate DirectorTrustee Nov 1, 2016
Eh Services Inc Organization, Saint Paul, MN Non-profit Operational/Managerial Control Mar 27, 2013 100%
Wells Fargo Bank Organization, Minneapolis, MN Created for acquisition, Financial institution 5% Or Greater Mortgage Interest May 1, 2013 74.52%
Brian T Ostenso Individual Corporate DirectorTrustee Nov 1, 2015
Peter L Gove Individual Corporate DirectorTrustee Nov 1, 2016
Lois J Cutler Individual Corporate DirectorTrustee Nov 1, 2016
Episcopal Homes on University Avenue, LLC Organization, Saint Paul, MN Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 27, 2013 100%
John T Henry Individual Corporate OfficerChief Financial Officer Oct 19, 2015 14.29%
Rebecca Hawthorne Individual Corporate DirectorTrustee Nov 1, 2017
Sarah J Nowlin Individual Corporate DirectorBoard of Trustees Member Mar 27, 2013 4.55%
James Huber Individual Corporate DirectorTrustee Nov 1, 2017
Keanan Franco Individual W-2 Managing EmployeeAdministrator Oct 27, 2015 100%
Episcopal Home Care and Services Organization, Saint Paul, MN Non-profit 5% Or Greater Indirect Ownership Interest Mar 27, 2013 100%
Thomas P Hove Individual Corporate DirectorBoard of Trustees Member 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.