Mount Olivet Careview Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

328443 Issued in MN

Legal business name

MOUNT OLIVET CAREVIEW HOME

Practice address

5517 Lyndale Ave S
Minneapolis, MN 55419-1719

Phone

(612) 827-5677

Fax

(612) 821-3241

NPI assigned

Jul 19, 2005

Last updated

Aug 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Lynn Flack

Title

Controller

Phone

(612) 821-3237

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285633537. Details of each certification follow.

• CCN 245071 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245071

Legal name

MOUNT OLIVET CAREVIEW HOME

Doing business as

MOUNT OLIVET CAREVIEW HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1990

Last certification

Jan 16, 2025

Beds

155

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 23, 1958 in MN

Enrollment address

5517 Lyndale Ave S
Minneapolis, MN 55419-1719

Nursing home name

MOUNT OLIVET CAREVIEW HOME

Listed as

Mount Olivet Careview HomeCCN 245071 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

155145.4 residents per day on average

Penalties (3 years)

1Fines totaling $55,043

Processed by Care Compare on Aug 1, 2026.

Member organizations 2

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

• Augustana Mount Olivet Hospice Care LLC

  dba Grace Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Minneapolis, MN
  • NPI 1245120740

  Member Of

  NPD member
• Augustana Mount Olivet Hospice Care LLC

  • Community Based Hospice Care Agency
  • Minneapolis, MN
  • NPI 1881012045

  Member Of

  NPD member

All disclosed owners & managing parties 35

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

Owners & managing parties with NPI records 1

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

• Scott J Fairbairn, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1174553747

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Augustana Mount Olivet Hospice Care LLC

  • Community Based Hospice Care Agency
  • Minneapolis, MN
  • NPI 1881012045

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Facilities with the same owner 1

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

• Augustana Mount Olivet Hospice Care LLC

  • Community Based Hospice Care Agency
  • Minneapolis, MN
  • NPI 1881012045

  Mount Olivet Careview Home

  CMS ownership

Practitioners 4

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.

• Janet L Bijwadia, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1346420916
  NPD (past)
• Gretchen Cole, MD

  • Internal Medicine Physician
  • Edina, MN
  • NPI 1942279575
  NPD (past)
• William Joseph Hamilton, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1194715748
  NPD (past)
• Maureen Stoesz, NP

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1619424777
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gretchen Cole, MD

  • Internal Medicine Physician
  • Edina, MN
  • NPI 1942279575

  Nursing home

  Care Compare affiliation
• William Joseph Hamilton, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1194715748

  Nursing home

  Care Compare affiliation
• Maureen Stoesz, NP

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1619424777

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1285633537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191719",
            "telephone_number": "612-827-5677",
            "fax_number": "612-821-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191719",
            "telephone_number": "612-827-5677",
            "fax_number": "612-821-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OLIVET CAREVIEW HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "FLACK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "612-821-3237",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830242100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Mouacheupao, MD
• Malika Baani Moukrim, D.C
• Taylor Nicole Mould, PA-C
• Maleta Kihm Moulsoff, DO
• Laura Marie Moulton Sutherland
• Mount Olivet Day Services
• Mount Olivet Home
• Mountnirecare
• Andrea Ellen Mousel, MA, LMFT
• Daphne Moutsoglou, MD

• Skilled Nursing Facility in Minneapolis, MN
• Providers in Minneapolis, 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 Aug 18, 2026; 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.