NPIMap

Organization Active NPI

Tracy Healthcare Center, Inc

Doing business as Prairieview Healthcare Center

  • Skilled Nursing Facility
  • Tracy, MN
National Provider Identifier
1245228725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
326818 Issued in MN
Legal business name
TRACY HEALTHCARE CENTER, INC
Doing business as
Prairieview Healthcare Center
Practice address
250 5TH St E
Tracy, MN 56175-1537
Phone
(507) 629-3331
NPI assigned
Oct 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Howie Groff
Title
President
Phone
(952) 888-2923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 326818 MN Primary

Addresses

Primary practice location

250 5TH St E
Tracy, MN 56175-1537

Mailing address

250 5TH St E
Tracy, MN 56175-1537

Other identifiers 3

IdentifierTypeStateIssuer
4542PROtherMNBLUE CROSS BLUE SHIELD
7100381OtherMNMEDICA
NH0218OtherMNUCARE

Other names 1

  • Prairieview Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021011000016 MN Part A Provider - Skilled Nursing Facility 8426965013 Practice locations: Tracy, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245228725. Details of each certification follow.

Skilled nursing facility certification: CCN 245371

Legal name
TRACY HEALTHCARE CENTER, INC
Doing business as
PRAIRIE VIEW SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1986
Last certification
Apr 16, 2025
Beds
45
Ownership / control type
Individual
Multi-facility organization
Tealwood Enterprises Inc
Organization structure
CorporationProprietary
Incorporated
Aug 30, 1989 in MN
Enrollment address
250 5TH St E
Tracy, MN 56175-1537
Nursing home name
PRAIRIE VIEW SENIOR LIVING
Affiliated entity
ACCURA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Prairie View Senior LivingCCN 245371 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Dec 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4542.0 residents per day on average
Chain
Accura Healthcare41 facilities in the chain

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
24D0651569Prairie View Senior Living250 5TH Street East, Tracy, MN 56175Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
American Healthcare Management Services LLC Organization, West Des Moines, IA LLC, Management services company Operational/Managerial Control Oct 1, 2019 100%
Ted a Leneave Individual Corporate OfficerCeo Oct 1, 2019
Operational/Managerial ControlPresident Oct 1, 2019
Gail Sheridan Individual 5% Or Greater Indirect Ownership InterestChief Clinical Operations Officer Aug 29, 2008 50%
Corporate Officer Aug 29, 2008
Justin T Young Individual W-2 Managing EmployeeMD; May 1, 2024
Brian Hinrichs Individual W-2 Managing EmployeeAd; Jan 1, 2023
Tealwood Enterprise Inc Organization, Bloomington, MN For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Howard a Groff Individual 5% Or Greater Indirect Ownership InterestPresident Sep 3, 2008 50%
Corporate OfficerPresident Sep 3, 2008

Owners & managing parties with NPI records 1

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

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 1

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245228725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 5TH ST E",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 5TH ST E",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751537",
            "telephone_number": "507-629-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY HEALTHCARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "326818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4542PR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "7100381",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0218",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairieview Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, MN

Sources for this page

Verify at the official NPI Registry.