Community Memorial Home at Osakis Minn Incorporated

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

333635 Issued in MN

Legal business name

COMMUNITY MEMORIAL HOME AT OSAKIS MINN INCORPORATED

Practice address

410 W Main St
Osakis, MN 56360-8243

Phone

(320) 859-2142

Fax

(320) 859-6292

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dave Bruce Carlson

Title

Administrator

Phone

(320) 859-2142

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Galeon Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Skilled nursing facility certification: CCN 245465

Legal name

COMMUNITY MEMORIAL HOME AT OSAKIS MINN INCORPORATED

Doing business as

GALEON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1987

Last certification

Oct 30, 2024

Beds

40

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 20, 1960 in MN

Enrollment address

410 W Main St
Osakis, MN 56360-8243

Nursing home name

GALEON

Listed as

GaleonCCN 245465

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 1, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4031.3 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

Community Memorial Home at Osakis Minn Incorporated4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Bridgewell

  • Assisted Living Facility
  • Osakis, MN
  • NPI 1205099231
  NPD tax ID
• Terrace Heights Assisted Living Apartments

  • Assisted Living Facility
  • Osakis, MN
  • NPI 1073633202
  NPD tax ID
• West View Assisted Living Apartments

  • Assisted Living Facility
  • Osakis, MN
  • NPI 1659420685
  NPD tax ID

Locations

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 1

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

• Paul W Bergstrand, MD

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1235119645

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Paul W Bergstrand, MD

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1235119645
  NPD (past)

Affiliated clinicians 6

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

• Paul W Bergstrand, MD

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1235119645

  Nursing home

  Care Compare affiliation
• Jessica M Butanis, DO

  • Internal Medicine Physician
  • Alexandria, MN
  • NPI 1003220799

  Nursing home

  Care Compare affiliation
• Skyler Holte Dahlseng, DO

  • Internal Medicine Physician
  • Alexandria, MN
  • NPI 1205365830

  Nursing home

  Care Compare affiliation
• Bruce A Evink, MD

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1518937911

  Nursing home

  Care Compare affiliation
• Alisha A Husfeldt, MD

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1669765905

  Nursing home

  Care Compare affiliation
• James Brian Spaeth, PA-C

  • Physician Assistant
  • Alexandria, MN
  • NPI 1568483782

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1326196890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W MAIN ST",
            "city": "OSAKIS",
            "state": "MN",
            "postal_code": "563608243",
            "telephone_number": "320-859-2142",
            "fax_number": "320-859-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W MAIN ST",
            "city": "OSAKIS",
            "state": "MN",
            "postal_code": "563608243",
            "telephone_number": "320-859-2142",
            "fax_number": "320-859-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOME AT OSAKIS MINN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-859-2142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "333635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "030920005",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE",
            "identifier": "NH0438",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "668340100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9755CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "71-00435",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galeon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridgewell
• Michael Lloyd Buffington, DC
• Central MN Healing Center, PLLC
• Education for All
• Raymond Steven Glaser, PHARM D
• Jani Marie Helm
• Ind School Dist 213 Douglas & Todd Cos
• Eric Nefstead, PT, DPT, ATC

• All providers in Osakis, MN
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.