NPIMap

Organization Active NPI

Legacy Senior Services

Doing business as Frazee Care Center

  • Skilled Nursing Facility
  • Frazee, MN
National Provider Identifier
1255510889
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
337844 Issued in MN
Legal business name
LEGACY SENIOR SERVICES
Doing business as
Frazee Care Center
Practice address
219 W Maple Ave
Frazee, MN 56544-4346
Phone
(218) 334-4501
NPI assigned
Oct 31, 2007
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Eric R Lunde
Title
President
Phone
(612) 695-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 337844 MN Primary

Addresses

Primary practice location

219 W Maple Ave
Frazee, MN 56544-4346

Mailing address

PO Box 96
Frazee, MN 56544-0096
Phone (218) 334-4501

Other identifiers 6

IdentifierTypeStateIssuer
7122681OtherMNMEDICA INSURANCE
972153000MedicaidMN
4980495OtherMNMEDICA WAIVER
5L06FROtherMNBLUECROSS BLUESHIELD
7100395OtherMNMEDICA MSHO
80314OtherMNUNICARE

Other names 1

  • Frazee Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207000312 MN Part A Provider - Skilled Nursing Facility 7719896232 Practice locations: Frazee, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255510889. Details of each certification follow.

Skilled nursing facility certification: CCN 245299

Legal name
LEGACY SENIOR SERVICES
Doing business as
FRAZEE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1985
Last certification
Nov 6, 2024
Beds
42
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 17, 2001 in MN
Enrollment address
219 W Maple Ave
Frazee, MN 56544-4346
Nursing home name
FRAZEE CARE CENTER
Affiliated entity
HEALTH DIMENSIONS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Frazee Care CenterCCN 245299 · All quality measures
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
Nov 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4229.2 residents per day on average
Chain
Health Dimensions Group10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Eric Robert Lunde Individual Corporate OfficerBoard Chair Aug 1, 2007
Corporate DirectorBoard Chair Aug 1, 2007
Health Dimensions Consulting Inc Organization, Hopkins, MN Corporation, Management services company, For-profit Operational/Managerial Control Aug 1, 2007 100%
Joel H Jensen Individual Corporate DirectorDirector Jun 7, 2013
Patrick M Krejci Individual Operational/Managerial Control Jul 1, 2020
Adp of the SNF Jul 1, 2024
Nadine M Paitich Individual Corporate DirectorDirector May 19, 2022
Roger E Green Individual Corporate OfficerDirector, Secretary May 1, 2007
Corporate DirectorDirector, Secretary May 1, 2007
Kelly Schmidt Individual Adp of the SNF Feb 7, 2019
HDG Real Estate, LLC Organization, Minnepolis, MN LLC, Holding company, For-profit 5% Or Greater Mortgage Interest Jan 7, 2020 7%
5% Or Greater Security Interest Jan 7, 2020 7%
First Resource Bank Organization, Forest Lake, MN Financial institution 5% Or Greater Mortgage Interest Aug 1, 2007 64%
5% Or Greater Security Interest Aug 1, 2007 64%
Molly M Anderson Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Legacy Senior Services Organization, Minnetonka, MN Non-profit 5% Or Greater Direct Ownership Interest Jul 23, 2007 100%
Alexis Birky Individual Operational/Managerial Control Oct 20, 2013
Adp of the SNF Oct 20, 2013
Robert J Beck Individual Corporate DirectorDirector Sep 8, 2013
Organization, Evanston, IL Investment firm Adp of the SNF Dec 1, 2024

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 9

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

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 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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1255510889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "FRAZEE",
            "state": "MN",
            "postal_code": "565440096",
            "telephone_number": "218-334-4501",
            "fax_number": "218-334-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAPLE AVE",
            "city": "FRAZEE",
            "state": "MN",
            "postal_code": "565444346",
            "telephone_number": "218-334-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "LUNDE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-695-5618"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "337844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA INSURANCE",
            "identifier": "7122681",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "972153000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA WAIVER",
            "identifier": "4980495",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "5L06FR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MSHO",
            "identifier": "7100395",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "80314",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frazee Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frazee Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frazee, MN

Sources for this page

Verify at the official NPI Registry.