Organization Active NPI

Little Sisters of the Poor of St Paul

  • Skilled Nursing Facility
  • Saint Paul, MN
National Provider Identifier
1194705830
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LITTLE SISTERS OF THE POOR OF ST PAUL
Practice address
330 Exchange St S
Saint Paul, MN 55102-2311
Phone
(651) 227-0336
Fax
(651) 227-7321
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mary Elizabeth Anderson
Title
Administrator
Phone
(651) 227-0336

Specialties & licenses 1

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

Addresses

Primary practice location

330 Exchange St S
Saint Paul, MN 55102-2311

Mailing address

330 Exchange St S
Saint Paul, MN 55102-2311
Phone (651) 227-0336

Other identifiers 1

IdentifierTypeStateIssuer
825540700MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100116000439 MN Part A Provider - Skilled Nursing Facility 6507908340 Practice locations: St Paul, MN

Skilled nursing facility certification: CCN 245524

Legal name
LITTLE SISTERS OF THE POOR OF ST PAUL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 1, 1988
Last certification
Dec 11, 2024
Beds
73
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 9, 1883 in MN
Enrollment address
330 Exchange St S
St Paul, MN 55102-2397
Nursing home name
LITTLE SISTERS OF THE POOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Little Sisters of the PoorCCN 245524
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7335.6 residents per day on average
Penalties (3 years)
3Fines totaling $13,265

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
24D0398886Little Sisters of the Poor330 S Exchange Street, Saint Paul, MN 55102Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

330 Exchange St S
Saint Paul, MN 55102
Phone (651) 227-0336

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Donna Marie Kannangara Individual 5% Or Greater Direct Ownership Interest Oct 1, 2024 100%
Trustee of the SNF Oct 1, 2024
Adp of the SNF Oct 1, 2024
Ronald Donacik Individual Corporate Officer Oct 10, 2024
Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 10, 2024
Himanshu S Sharma Individual Operational/Managerial Control Jan 1, 2000
Adp of the SNF Jan 1, 2000

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1194705830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 EXCHANGE ST S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022311",
            "telephone_number": "651-227-0336",
            "fax_number": "651-227-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 EXCHANGE ST S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022311",
            "telephone_number": "651-227-0336",
            "fax_number": "651-227-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SISTERS OF THE POOR OF ST PAUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-227-0336"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825540700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.