Organization Active NPI

Cura of Willmar LLC

  • Skilled Nursing Facility
  • Willmar, MN
National Provider Identifier
1255844734
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 15, 2024

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherNon-profit
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 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
24D0405393Cura of Willmar1801 Willmar Ave, Willmar, MN 56201Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member 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.

NameRoleSinceShare
Angela Mitteness Individual Operational/Managerial Control Mar 19, 2024
Adp of the SNF Mar 19, 2024
Mark Dirkes Individual Corporate DirectorCorporate Treasurer Mar 19, 2024
Operational/Managerial Control Mar 19, 2024
Pamela Adam Individual Operational/Managerial Control Mar 19, 2024
Adp of the SNF Mar 19, 2024
Jayme Vanbeek Individual Adp of the SNF Mar 19, 2024
TF Management LLC Organization, Paynesville, MN Management services company Operational/Managerial Control Nov 11, 2024
Adp of the SNF Dec 11, 2024
Cura Organization, Paynesville, MN Holding company, Non-profit 5% Or Greater Direct Ownership Interest Mar 19, 2024 100%
Adp of the SNF Nov 11, 2024
Tom Opatz Individual Corporate OfficerPresident Mar 19, 2024
Operational/Managerial Control Mar 19, 2024
Adp of the SNF Mar 19, 2024
Fred Struzyk Individual Corporate OfficerCfo 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.

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

Verify at the official NPI Registry.