Marian Manor Community Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1025A Issued in ND

Legal business name

MARIAN MANOR COMMUNITY CORPORATION

Doing business as

Marian Manor Healthcare Center

Practice address

604 E Ash Ave
Glen Ullin, ND 58631-7138

Phone

(701) 348-3107

NPI assigned

Aug 9, 2005

Last updated

Dec 17, 2019By 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. Sandra F Gerving

Title

Administrator

Phone

(701) 348-3107

Specialties & licenses 1

Addresses

Other names 1

• Marian Manor Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316948631. Details of each certification follow.

• CCN 355036 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 355036

Legal name

MARIAN MANOR COMMUNITY CORPORATION

Doing business as

MARIAN MANOR HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1978

Last certification

Mar 13, 2025

Beds

54

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 26, 1963 in ND

Enrollment address

604 E Ash Ave
Glen Ullin, ND 58631-7138

Nursing home name

MARIAN MANOR HEALTHCARE CENTER

Listed as

Marian Manor Healthcare CenterCCN 355036 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5451.8 residents per day on average

Penalties (3 years)

1Fines totaling $22,835

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 10

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 6

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

• Jacobson Memorial Hospital Care Center

  dba Glen Ullin Family Medical Clinic

  • Rural Health Clinic/Center
  • Glen Ullin, ND
  • NPI 1003929944

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Jacobson Memorial Hospital Care Center

  dba Richardton Clinic

  • Rural Health Clinic/Center
  • Richardton, ND
  • NPI 1043649486

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Jacobson Memorial Hospital Care Center

  • Medicare Defined Swing Bed Hospital Unit
  • Elgin, ND
  • NPI 1184002347

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Jacobson Memorial Hospital Care Center

  • Critical Access Hospital
  • Elgin, ND
  • NPI 1336196039

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Jacobson Memorial Hospital Care Center

  dba Elgin Community Clinic

  • Rural Health Clinic/Center
  • Elgin, ND
  • NPI 1871691519

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Lee Kiedrowski, MD

  • Family Medicine Physician
  • Bismarck, ND
  • NPI 1962997338

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• Jacobson Memorial Hospital Care Center

  dba Richardton Clinic

  • Rural Health Clinic/Center
  • Richardton, ND
  • NPI 1043649486

  Jacobson Memorial Hospital Care Center

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Marian Manor Community Corporation

  • Custodial Care Facility
  • Glen Ullin, ND
  • NPI 1457224370
  NPPES parent name

Affiliated clinicians 1

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

• Lee Kiedrowski, MD

  • Family Medicine Physician
  • Bismarck, ND
  • NPI 1962997338

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1316948631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "GLEN ULLIN",
            "state": "ND",
            "postal_code": "586310578",
            "telephone_number": "701-348-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E ASH AVE",
            "city": "GLEN ULLIN",
            "state": "ND",
            "postal_code": "586317138",
            "telephone_number": "701-348-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN MANOR COMMUNITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "GERVING",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-348-3107",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1025A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marian Manor Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marian Manor Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glen Ullin Pharmacy LLC (Glen Ullin Pharmacy)
• Glen Ullin RHC
• Jacobson Memorial Hospital Care Center (Glen Ullin Family Medical Clinic)
• Kayla Kremers, OT
• Tyrone Langager, M.D.
• Marian Manor Community Corporation
• Marian Manor Healthcare Center
• Jenny Lynn Sailer Sauer
• Dale Clyde Sease, RPH
• Meagan Shillingstad, OTR

• Skilled Nursing Facility in Glen Ullin, ND
• Providers in Glen Ullin, ND by specialty
• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.