Organization Active NPI

Morgan Memorial Foundation Inc

  • Skilled Nursing Facility
  • Morgan, MN
National Provider Identifier
1104815984
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
327789 Issued in MN
Legal business name
MORGAN MEMORIAL FOUNDATION INC
Practice address
96 3Rd St E
Morgan, MN 56266-1414
Phone
(507) 249-3143
Fax
(507) 249-2310
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
James D Broich
Title
Administrator
Phone
(507) 249-3143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 327789 MN Primary

Addresses

Primary practice location

96 3Rd St E
Morgan, MN 56266-1414

Mailing address

96 3Rd St E
Morgan, MN 56266-1414
Phone (507) 249-3143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000650 MN Part A Provider - Skilled Nursing Facility 0446152227 Practice locations: Morgan, MN

Skilled nursing facility certification: CCN 245594

Legal name
MORGAN MEMORIAL FOUNDATION INC
Doing business as
GIL-MOR MANOR AND GIL-MOR HAVEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1991
Last certification
Jun 13, 2024
Beds
35
Ownership / control type
Other Nonprofit
Organization structure
OtherNon-profit
Incorporated
Dec 30, 1959 in MN
Enrollment address
96 3Rd St E
Morgan, MN 56266-1414
Nursing home name
GIL-MOR MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gil-Mor ManorCCN 245594 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Nov 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3529.9 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
24D0651596Gil-Mor Manor96 Third Street East, Morgan, MN 56266Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

96 3rd St E
Morgan, MN 56266
Phone (507) 249-3115

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Lynn M Madsen Individual Corporate DirectorSecretary, Executive Board Membe Mar 1, 2011
Tammy Meyers Individual Corporate Director2ND Vice President, Executive Bo Nov 1, 2011
Lynn M Pietig Individual Corporate DirectorTreasurer, Executive Board Membe Nov 1, 2003
David I Simonsen Individual Corporate Director1St Vice President, Executive Bo Nov 1, 2008
Douglas Kopischke Individual Corporate DirectorPresiden, Executive Board Member Nov 1, 2005
Terrie E Rothmeier Individual W-2 Managing EmployeeAdministrator Jul 16, 2016
Operational/Managerial ControlAdministrator Jul 16, 2016
Suzanne Miller Individual W-2 Managing EmployeeBusiness Office Manager/Activity Sep 3, 2014

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1104815984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 3RD ST E",
            "city": "MORGAN",
            "state": "MN",
            "postal_code": "562661414",
            "telephone_number": "507-249-3143",
            "fax_number": "507-249-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 3RD ST E",
            "city": "MORGAN",
            "state": "MN",
            "postal_code": "562661414",
            "telephone_number": "507-249-3143",
            "fax_number": "507-249-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN MEMORIAL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "BROICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-249-3143"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "327789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan, MN

Sources for this page

Verify at the official NPI Registry.