Mapleton Community Home – Skilled Nursing Facility

Key facts

NPI: 1194730853
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
License: 331781 (MN)
Legal business name: MAPLETON COMMUNITY HOME
Practice address: 301 Troendle St SW
Mapleton, MN 56065-9744
Phone: (507) 524-3315
Fax: (507) 524-4410
NPI assigned: Jul 30, 2006
Organization subpart: No

Authorized official

Name: Mr. Kevin Wayne King
Title: Administrator
Phone: (507) 524-3315

Owners & managing parties with NPI records 1

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

Amy L Boles, MD Family Medicine Physician · Mankato, MN · NPI 1760473722

CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Practitioners 1

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

Amy L Boles, MD Family Medicine Physician · Mankato, MN · NPI 1760473722

NPD (past)

Affiliated clinicians 3

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

Amy L Boles, MD Family Medicine Physician · Mankato, MN · NPI 1760473722

Care Compare affiliation Nursing home
Bryan P Pucik, MD Family Medicine Physician · Mankato, MN · NPI 1073592077

Care Compare affiliation Nursing home
Darlene I Schauer, PA Medical Physician Assistant · Mapleton, MN · NPI 1386962447

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Mapleton Community Home CCN 245362
Overall star rating: ★★★★★ 5 of 5
Health inspections: ★★★★☆ 4 of 5
Staffing: ★★★★☆ 4 of 5
Quality measures: ★★★★★ 5 of 5
Type: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified: Dec 1, 1986
Certified beds: 59 · 49.4 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
24D0670782	Mapleton Community Home 301 Troendle St, Mapleton, MN 56065	Certificate of waiver	Aug 31, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MN

Skilled nursing facility certification: CCN 245362

Legal name: MAPLETON COMMUNITY HOME
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Dec 1, 1986
Last certification: Jul 10, 2024
Beds: 59
Ownership / control type: Nonprofit Corporation
Organization structure: Corporation · Non-profit
Incorporated: Jun 27, 1962 in MN
Enrollment address: 301 Troendle St SW
Mapleton, MN 56065-9744
Nursing home name: MAPLETON COMMUNITY HOME

All disclosed owners & managing parties 11

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
Robert Decker Individual	Corporate Director Board Member	Jan 1, 2024	10%
Marvin Kimm Individual	Corporate Director Board Chairman	Jan 1, 2022	10%
Amy L Boles Individual	Operational/Managerial Control	Jan 1, 2025
Amy L Boles Individual	Adp of the SNF	Feb 6, 2025
Benjamin Honsey Individual	Corporate Director Board Member	Jan 1, 2022	10%
Cindy Wishart Individual	Corporate Director Board Member	Jan 1, 2020	10%
Karen Frank Individual	Corporate Director Board Member	Jan 1, 2020	10%
Owen Dickey Individual	Corporate Director Board Member	Jan 1, 2023	10%
Roxanne Gosson Individual	Corporate Officer Administrator	Apr 20, 2009	100%
	Operational/Managerial Control Chief Executive Officer	Apr 20, 2009	100%
	Adp of the SNF	Jan 28, 2025
Bruce Stanton Individual	Corporate Director Board Member	Jan 1, 2024	10%
Cindy Arndt Individual	Corporate Director Board Member	Jan 1, 2024	10%
Rita Caron Individual	Corporate Director Board Member	Jan 1, 2024	10%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20120604000565	MN	Part a Provider - Skilled Nursing Facility	4880858851	Practice locations: Mapleton, MN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	331781	MN	Yes

Addresses

Primary practice location

301 Troendle St SW
Mapleton, MN 56065-9744

Mailing address

PO Box 337
Mapleton, MN 56065-0337
Phone (507) 524-3315

Other identifiers

Identifier	Type	State	Issuer
9682MA	Other	MN	BLUE CROSS/BLUE SHIELD
NH0511	Other	MN	UCARE

Other providers in Mapleton, MN

All providers in Mapleton, MN · Skilled Nursing Facility in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.