NPIMap

Organization Active NPI

Sisters of Mary of the Presentation Long Term Care

Doing business as SMP Health - Ave Maria

  • Skilled Nursing Facility
  • Jamestown, ND
National Provider Identifier
1295738193
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1033B Issued in ND
Legal business name
SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Doing business as
SMP Health - Ave Maria
Practice address
501 19TH St NE
Jamestown, ND 58401-2541
Phone
(701) 252-5660
Fax
(701) 251-2643
NPI assigned
May 24, 2005
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Ms. Deb N Steckler
Title
Finance Director
Phone
(701) 252-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1033B ND Primary

Addresses

Primary practice location

501 19TH St NE
Jamestown, ND 58401-2541

Mailing address

501 19TH St NE
Jamestown, ND 58401-2541
Phone (701) 252-5660

Other identifiers 1

IdentifierTypeStateIssuer
1455433MedicaidND

Other names 1

  • SMP Health - Ave Maria Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000067 ND Part A Provider - Skilled Nursing Facility 8921917766 Practice locations: Jamestown, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295738193. Details of each certification follow.

Skilled nursing facility certification: CCN 355082

Legal name
SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Doing business as
SMP HEALTH - AVE MARIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1978
Last certification
Sep 11, 2024
Beds
100
Ownership / control type
Nonprofit Corporation
Multi-facility organization
SMP Health
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 2002 in ND
Enrollment address
501 19TH St NE
Jamestown, ND 58401-2541
Nursing home name
SMP HEALTH - AVE MARIA
Affiliated entity
SMP HEALTH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
SMP Health - Ave MariaCCN 355082 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10096.7 residents per day on average
Chain
SMP Health5 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $6,788

Processed by Care Compare on Aug 1, 2026.

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
35D0698533SMP Health - Ave Maria501 19TH St NE, Jamestown, ND 58401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Sisters of Mary of the Presentation Long-Term Care9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 19th St NE
Jamestown, ND 58401
Phone (701) 252-5660

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
David M Montecuollo Individual Corporate Director Jul 1, 2017
Frank E Redlin Individual Corporate Director Jul 1, 2017
Lynette C Schmitz Individual Corporate Director Jul 1, 2015
Aaron K Alton Individual Corporate OfficerPresident/Ceo Apr 1, 2002 100%
Sharon Houle Individual Corporate Director Feb 6, 2020
Becky Hansen Individual Corporate OfficerVice President of Finance Oct 1, 2020 100%
Corporate Director Jul 1, 2021
Paul J Carson Individual Corporate Director Dec 1, 2020
Tonie Lagodinski Individual W-2 Managing EmployeeAssistant Administrator Aug 1, 2019 100%
Operational/Managerial ControlChief Executive Officer Oct 1, 2021 100%
Sisters of Mary of the Presentation Long Term Care Organization, Jamestown, ND Corporation, Non-profit Operational/Managerial Control Apr 1, 2002 100%

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
SMP Health - MaryhillEnderlin, ND, CCN 355108 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2002

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 9

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": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1295738193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH ST NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012541",
            "telephone_number": "701-252-5660",
            "fax_number": "701-251-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012541",
            "telephone_number": "701-252-5660",
            "fax_number": "701-251-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "STECKLER",
        "authorized_official_first_name": "DEB",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "701-252-5660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1033B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455433",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMP Health - Ave Maria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.