Active NPI
Little Sisters of the Poor of St Paul
- Skilled Nursing Facility
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 825540700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Poor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 1, 1988
- Medicare certification status
- Active
- Certified beds
- 73
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 24D0398886 | Little Sisters of the Poor | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Donna Marie Kannangara | 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 | Corporate Officer | Oct 10, 2024 | |
| Operational/Managerial Control | Oct 1, 2024 | ||
| Adp of the SNF | Oct 10, 2024 | ||
| Himanshu S Sharma | 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.
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1720040900
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1922503184
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1720040900
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1902944614
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.