Active NPI
Cura of Willmar LLC
- Skilled Nursing Facility
- Willmar, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CURA OF WILLMAR LLC
- Practice address
- 1801 Willmar Ave SW
Willmar, MN 56201-2882 - Phone
- (320) 214-2700
- NPI assigned
- Nov 7, 2017
- Reactivated
- Aug 15, 2024
- 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
- Fred William Struzyk
- Title
- Cfo
- Phone
- (320) 249-7364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1801 Willmar Ave SW
Willmar, MN 56201-2882
Mailing address
1801 Willmar Ave SW
Willmar, MN 56201-2882
Phone (320) 217-2400
Other names 1
- Carris Health - Care Center & Therapy Suites
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240715001022 | MN | Part A Provider - Skilled Nursing Facility | 6507309887 | Practice locations: Willmar, MN |
Skilled nursing facility certification: CCN 245410B
- Legal name
- CURA OF WILLMAR LLC
- Doing business as
- CURA OF WILLMAR
- Organization structure
- Other
- Incorporated
- Aug 22, 2023 in MN
- Enrollment address
- 1801 Willmar Ave SW
Willmar, MN 56201-2882 - Nursing home name
- CURA OF WILLMAR
- Affiliated entity
- CURA
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 |
|---|---|---|---|
| 24D0405393 | Cura of Willmar | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Angela Mitteness | Operational/Managerial Control | Mar 19, 2024 | |
| Adp of the SNF | Mar 19, 2024 | ||
| Mark Dirkes | Corporate Director | Mar 19, 2024 | |
| Operational/Managerial Control | Mar 19, 2024 | ||
| Pamela Adam | Operational/Managerial Control | Mar 19, 2024 | |
| Adp of the SNF | Mar 19, 2024 | ||
| Jayme Vanbeek | Adp of the SNF | Mar 19, 2024 | |
| TF Management LLC | Operational/Managerial Control | Nov 11, 2024 | |
| Adp of the SNF | Dec 11, 2024 | ||
| Cura | 5% Or Greater Direct Ownership Interest | Mar 19, 2024 | 100% |
| Adp of the SNF | Nov 11, 2024 | ||
| Tom Opatz | Corporate Officer | Mar 19, 2024 | |
| Operational/Managerial Control | Mar 19, 2024 | ||
| Adp of the SNF | Mar 19, 2024 | ||
| Fred Struzyk | Corporate Officer | Mar 19, 2024 | |
| Operational/Managerial Control | Mar 19, 2024 | ||
| Adp of the SNF | Mar 19, 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 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Willmar, MN
- NPI 1427024561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1255844734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 WILLMAR AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562012882",
"telephone_number": "320-217-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 WILLMAR AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562012882",
"telephone_number": "320-214-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CURA OF WILLMAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-07",
"last_updated": "2024-08-15",
"certification_date": "2024-04-10",
"deactivation_date": "2024-08-01",
"reactivation_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "STRUZYK",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "320-249-7364"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carris Health - Care Center & Therapy Suites",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Carris Health - Care Center & Therapy Suites",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.