Community Memorial Hospital & Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COMMUNITY MEMORIAL HOSPITAL & NURSING HOME

Practice address

800 Memorial Dr
Spring Valley, MN 55975-1024

Phone

(507) 346-7381

Fax

(507) 346-7619

NPI assigned

Jul 7, 2005

Last updated

Jul 21, 2022By 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

Penny Solberg, MBA

Title

Administrator

Phone

(507) 346-7381

Specialties & licenses 1

Addresses

Other names 1

• Spring Valley Senior Living Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1124025812. Details of each certification follow.

• CCN 245442 Skilled nursing facility · Active · Details
• CCN 240105 Hospital · Terminated · Name & address match · Details

Skilled nursing facility certification: CCN 245442

Legal name

COMMUNITY MEMORIAL HOSPITAL & NURSING HOME

Doing business as

SPRING VALLEY LIVING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1987

Last certification

Nov 21, 2024

Beds

45

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

800 Memorial Dr
Spring Valley, MN 55975-1054

Nursing home name

SPRING VALLEY CARE CENTER

Hospital certification: CCN 240105

Legal name

COMMUNITY MEMORIAL HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Jan 18, 1997

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Apr 10, 1991

Beds

24

Ownership / control type

Other

Facility address

800 Memorial Dr
Spring Valley, MN 55975

Listed as

Spring Valley Care CenterCCN 245442 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 1, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4542.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

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 1

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

• Lilia Cristina Ponton, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Rochester, MN
  • NPI 1659699031

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• Lilia Cristina Ponton, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Rochester, MN
  • NPI 1659699031
  NPD (past)

Affiliated clinicians 2

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

• Cory A Boyce, MD

  • Family Medicine Physician
  • Spring Valley, MN
  • NPI 1437106242

  Nursing home

  Care Compare affiliation
• Lilia Cristina Ponton, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Rochester, MN
  • NPI 1659699031

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124025812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEMORIAL DR",
            "city": "SPRING VALLEY",
            "state": "MN",
            "postal_code": "559751024",
            "telephone_number": "507-346-7381",
            "fax_number": "507-346-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEMORIAL DR",
            "city": "SPRING VALLEY",
            "state": "MN",
            "postal_code": "559751024",
            "telephone_number": "507-346-7381",
            "fax_number": "507-346-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL & NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOLBERG",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-346-7381",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Valley Senior Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chisom O Bruns, PA-C
• Keith Casella
• Cindy Powell Therapy & Consulting LLC
• City of Spring Valley (Spring Valley Ambulance Service)
• Community Memorial Hospital & Nursing Home (Spring Valley Home Health)
• Community Memorial Hospital & Nursing Home
• Jason Fuah, DMD
• Michael W Gordon, O.D.
• Jessica Gorr, RN
• Brice Greene, D.D.S.

• Skilled Nursing Facility in Spring Valley, MN
• Providers in Spring Valley, 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 Jul 21, 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.