Chosen Valley Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

329921 Issued in MN

Legal business name

CHOSEN VALLEY CARE CENTER, INC

Practice address

1102 Liberty St SE
Chatfield, MN 55923-1448

Phone

(507) 867-4220

Fax

(507) 867-0080

NPI assigned

Sep 1, 2005

Last updated

Aug 22, 2020By 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

Mrs. Jean Kay Haakenson

Title

Business Manager

Phone

(507) 867-4220

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316931645. Details of each certification follow.

• CCN 245423 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245423

Legal name

CHOSEN VALLEY CARE CENTER, INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1987

Last certification

Jul 12, 2024

Beds

78

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Incorporated

Feb 6, 1976 in MN

Enrollment address

1102 Liberty St SE
Chatfield, MN 55923-1448

Nursing home name

CHOSEN VALLEY CARE CENTER

Listed as

Chosen Valley Care CenterCCN 245423 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Feb 1, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7872.6 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

Tax ID family

Chosen Valley Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Chosen Valley Assisted Living

  • Assisted Living Facility
  • Chatfield, MN
  • NPI 1841222908
  NPD tax ID

Locations

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.

Owners & managing parties with NPI records 1

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

• Lilia Cristina Ponton, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Rochester, MN
  • NPI 1659699031

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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.

• Bryan Matthew O'Dowd, CCC-SLP

  • Speech-Language Pathologist
  • Rochester, MN
  • NPI 1013521160
  NPD (past)
• Lilia Cristina Ponton, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Rochester, MN
  • NPI 1659699031
  NPD (past)

Affiliated clinicians 4

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

• Mark James Herr, MD

  • Orthopaedic Surgery Physician
  • Rochester, MN
  • NPI 1477532711

  Nursing home

  Care Compare affiliation
• Matthew Joseph Kirsch, M.D.

  • Orthopaedic Surgery Physician
  • Rochester, MN
  • NPI 1316921117

  Nursing home

  Care Compare affiliation
• Lilia Cristina Ponton, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Rochester, MN
  • NPI 1659699031

  Nursing home

  Care Compare affiliation
• Stephan Lawrence Wasmundt, PA-C

  • Physician Assistant
  • Chatfield, MN
  • NPI 1609541275

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316931645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 LIBERTY ST SE",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231448",
            "telephone_number": "507-867-4220",
            "fax_number": "507-867-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 LIBERTY ST SE",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231448",
            "telephone_number": "507-867-4220",
            "fax_number": "507-867-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN VALLEY CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAAKENSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "507-867-4220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "329921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INS PROVIDER #",
            "identifier": "9752CH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER #",
            "identifier": "NH 0250",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Anderson, RN, DNP
• Chatfield Dental Clinic, L.L.C.
• Chatfield Family Chiropractic LLC
• Chatfield Public School Isd #227
• Chosen Valley Assisted Living
• City of Chatfield (Chatfield Ambulance Service)
• Victoria L Dietz, MD
• Christopher Dornack, PHARMD
• Alyssa Eckdahl, RN
• Elder Chiropractic Offices LTD.

• Skilled Nursing Facility in Chatfield, MN
• Providers in Chatfield, 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 22, 2020; 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.