Senior Care Forest Lake, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

332296 Issued in MN

Legal business name

SENIOR CARE FOREST LAKE, LLC

Doing business as

Birchwood Health Care Center

Practice address

604 N.E. First Street
Forest Lake, MN 55025

Phone

(651) 464-5600

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Nancy Sue Richter

Title

Accountant

Phone

(612) 431-7932

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Birchwood Health Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Skilled nursing facility certification: CCN 245200

Legal name

SENIOR CARE FOREST LAKE, LLC

Doing business as

BIRCHWOOD HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1974

Last certification

Apr 10, 2025

Beds

100

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Lifespark

Organization structure

LLC

Incorporated

Jan 26, 2007 in DE

Enrollment address

604 NE First Street
Forest Lake, MN 55025-1202

Nursing home name

BIRCHWOOD HEALTH CARE CENTER

Affiliated entity

LIFESPARK

Listed as

Birchwood Health Care CenterCCN 245200 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10084.3 residents per day on average

Chain

Lifespark4 facilities in the chain

Penalties (3 years)

3Fines totaling $48,698

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 24

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Yasser Chebli, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Saint Paul, MN
  • NPI 1366704553

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Aegis Therapies, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Maysville, KY
  • NPI 1912370644

  Adp of the SNF

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Senior Care Providence, LLC

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1851599021

  Lifespark Management Services, Senior Care Communities

  CMS ownership
• Senior Care Woodbury, LLC

  dba Woodbury Villa

  • Skilled Nursing Facility
  • Saint Paul, MN
  • NPI 1427183961

  Lifespark Management Services, Senior Care Communities

  CMS ownership

Practitioners 3

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

• Yasser Chebli, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Saint Paul, MN
  • NPI 1366704553
  NPD (past)
• Daniel J Stein, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Excelsior, MN
  • NPI 1669449674
  NPD (past)
• James A Young II, MD

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

Affiliated clinicians 2

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

• Nicholas J Schneeman, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Robbinsdale, MN
  • NPI 1245269612

  Nursing home

  Care Compare affiliation
• James A Young II, MD

  • Family Medicine Physician
  • Saint Paul, MN
  • NPI 1538126107

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1114053113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N.E. FIRST STREET",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "55025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N.E. FIRST STREET",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "55025",
            "telephone_number": "651-464-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE FOREST LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "612-431-7932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "332296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8608B",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0004",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HPFIN 231",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399240300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birchwood Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Birchwood Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Forest Lake, MN
• Providers in Forest Lake, 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 27, 2022; 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.