Jourdain Perpich Extended Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JOURDAIN PERPICH EXTENDED CARE CENTER INC

Doing business as

Jourdain/Perpich Extended Care Center

Practice address

24856 Hospital Drive
Red Lake, MN 56671-0399

Phone

(218) 679-3400

Fax

(218) 679-3434

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Nicolai Kurtis Berg, LNHA

Title

Administrator

Phone

(218) 679-3400

Specialties & licenses 1

Addresses

Other names 1

• Jourdain/Perpich Extended Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Skilled nursing facility certification: CCN 245535

Legal name

JOURDAIN PERPICH EXTENDED CARE CENTER INC

Doing business as

JOURDAIN PERPICH EXTENDED CARE FACILITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 30, 1991

Last certification

Dec 18, 2024

Beds

47

Ownership / control type

Other Nonprofit

Organization structure

GovernmentNon-profit

Incorporated

Jun 24, 1999 in MN

Enrollment address

24856 Hospital Drive
Red Lake, MN 56671-0399

Nursing home name

JOURDAIN PERPICH EXT CARE FAC

Listed as

Jourdain Perpich Ext Care FacCCN 245535 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Dec 30, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4721.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 6

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

Practitioners 1

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

• Eli T Lotsu, MD

  • Family Medicine Physician
  • Flint, MI
  • NPI 1548410640
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1275577959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24856 HOSPITAL DRIVE",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "566710399",
            "telephone_number": "218-379-3400",
            "fax_number": "218-679-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24856 HOSPITAL DRIVE",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "566710399",
            "telephone_number": "218-679-3400",
            "fax_number": "218-679-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURDAIN PERPICH EXTENDED CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "NICOLAI",
        "authorized_official_middle_name": "KURTIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-679-3400",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jourdain/Perpich Extended Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jourdain/Perpich Extended Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independent School District #38
• Independent School District #38
• Independent School District #38
• Peter Wright Jaeger, PHARM.D.
• Kari Lynn Josefson, DNP, FNP-BC
• Patrick Ryan Kelly, MSN, APRN, PMHNP-BC
• Andrew S Kingbird, CHW, CASE MANAGER
• Keveon K Kingbird, CHW
• Rachel Koch, NURSE PRACTITIONER
• Anthony John Ladner, PHARMD.

• Skilled Nursing Facility in Red Lake, MN
• Providers in Red Lake, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.

Verify at the official NPI Registry.