NPIMap

Organization Active NPI

Cura of Melrose LLC

  • Skilled Nursing Facility
  • Melrose, MN
National Provider Identifier
1366400822
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328452 Issued in MN
Legal business name
CURA OF MELROSE LLC
Practice address
525 Main St W
Melrose, MN 56352-1043
Phone
(320) 256-4231
Fax
(320) 256-4949
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Fred Struzyk
Title
Cfo
Phone
(320) 249-7364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328452 MN Primary

Addresses

Primary practice location

525 Main St W
Melrose, MN 56352-1043

Mailing address

525 W. Main Street
Melrose, MN 56352
Phone (320) 256-4231

Other names 2

  • Cura of Melrose Doing business as
  • Pine Villa Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240412002099 MN Part A Provider - Skilled Nursing Facility 8426497231 Practice locations: Melrose, MN

Skilled nursing facility certification: CCN 245396A

Legal name
CURA OF MELROSE LLC
Doing business as
CURA OF MELROSE
Organization structure
LLC
Enrollment address
101 5TH Ave NW
Melrose, MN 56352-1074

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
24D2232600Cura of Melrose101 5TH Ave NW, Melrose, MN 56352Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Centracare Health System - Melrose2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Mark Dirkes Individual Corporate DirectorSec/Treasurer Jan 23, 2024
Operational/Managerial Control Oct 31, 2024
Managing Control - Governing BodyCorporate Treasurer Jan 23, 2024
Adp of the SNF Jan 23, 2025
Patrick J Heller Individual Adp of the SNF Dec 11, 2024
TF Management LLC Organization, Paynesville, MN LLC Operational/Managerial Control Dec 4, 2024
Adp of the SNF Oct 31, 2024
Cura Organization, Paynesville, MN Holding company, Non-profit 5% Or Greater Direct Ownership Interest Jan 23, 2024 100%
Adp of the SNF Oct 31, 2024
Tom Opatz Individual Corporate OfficerCeo Jan 23, 2024
Operational/Managerial Control Oct 31, 2024
Managing Control - Governing BodyCeo Jan 23, 2024
Adp of the SNF Dec 11, 2024
Fred Struzyk Individual Corporate OfficerCfo Jan 23, 2024
Operational/Managerial Control Oct 31, 2024
Managing Control - Governing BodyCfo & Sits on Board of Cura Unti Jan 23, 2024
Adp of the SNF Jan 23, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1366400822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W. MAIN STREET",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "56352",
            "telephone_number": "320-256-4231",
            "fax_number": "320-256-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MAIN ST W",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563521043",
            "telephone_number": "320-256-4231",
            "fax_number": "320-256-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURA OF MELROSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "STRUZYK",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-249-7364"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cura of Melrose",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pine Villa Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pine Villa Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose, MN

Sources for this page

Verify at the official NPI Registry.