Active NPI
Estates at Delano LLC
- Skilled Nursing Facility
- Delano, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ESTATES AT DELANO LLC
- Practice address
- 433 County Road 30 SE
Delano, MN 55328-9000 - Phone
- (763) 972-2987
- NPI assigned
- Feb 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Legum
- Title
- Ceo
- Phone
- (507) 625-8741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
433 County Road 30 SE
Delano, MN 55328-9000
Mailing address
638 Southbend Ave
Mankato, MN 56001-2168
Phone (507) 625-8741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170321001406 | MN | Part A Provider - Skilled Nursing Facility | 2062797707 | Practice locations: Delano, MN |
Skilled nursing facility certification: CCN 245336
- Legal name
- ESTATES AT DELANO LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1986
- Last certification
- Oct 16, 2024
- Beds
- 39
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Monarch Healthcare Management
- Organization structure
- LLC
- Incorporated
- Dec 30, 2016 in MN
- Enrollment address
- 433 County Road 30 SE
Delano, MN 55328-9000 - Nursing home name
- THE ESTATES AT DELANO LLC
- Affiliated entity
- MONARCH HEALTHCARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Estates at Delano LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1986
- Medicare certification status
- Active
- Certified beds
- 39
- Chain
- Monarch Healthcare Management
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0651288 | The Estates at Delano | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Spartan Healthcare LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2017 | 30% |
| William Stern | 5% Or Greater Direct Ownership Interest | Mar 1, 2017 | 20% |
| Corporate Officer | Mar 1, 2017 | 20% | |
| Marc Halpert | 5% Or Greater Indirect Ownership Interest | Mar 1, 2017 | 30% |
| Corporate Director | Mar 1, 2017 | 30% | |
| Jeffrey Arem | 5% Or Greater Direct Ownership Interest | Mar 1, 2017 | 6.66% |
| Monarch Healthcare Operating IV LLC | Operational/Managerial Control | Mar 1, 2017 | 100% |
| Joshua Legum | 5% Or Greater Indirect Ownership Interest | Mar 1, 2017 | 30% |
| W-2 Managing Employee | Mar 1, 2017 | ||
| Yazoma Holdings, LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2017 | 30% |
| Noam Jaffa | 5% Or Greater Indirect Ownership Interest | Mar 1, 2017 | 6.68% |
| Nij LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2017 | 6.68% |
Facilities with the same owner 44
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Gaylord, MN
- NPI 1710646641
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Alexandria, MN
- NPI 1609380500
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1952849416
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1417495987
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Excelsior, MN
- NPI 1053859520
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Fridley, MN
- NPI 1962940437
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Stillwater, MN
- NPI 1871031344
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Stillwater, MN
- NPI 1598203069
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Saint Paul, MN
- NPI 1952849424
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Roseville, MN
- NPI 1861930331
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Rush City, MN
- NPI 1770021248
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- St Louis Park, MN
- NPI 1689112153
Monarch Healthcare Operating IV LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Minneapolis, MN
- NPI 1720721525
-
- Internal Medicine Physician
- St Louis Park, MN
- NPI 1114169356
-
- Geriatric Medicine (Family Medicine) Physician
- Golden Valley, MN
- NPI 1023021409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486252800000",
"number": "1144768615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 SOUTHBEND AVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560012168",
"telephone_number": "507-625-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 COUNTY ROAD 30 SE",
"city": "DELANO",
"state": "MN",
"postal_code": "553289000",
"telephone_number": "763-972-2987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTATES AT DELANO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-05",
"last_updated": "2017-02-05",
"status": "A",
"authorized_official_last_name": "LEGUM",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "507-625-8741"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delano, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; 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.