NPIMap

Organization Active NPI

Pierz Villa, Inc.

  • Skilled Nursing Facility
  • Pierz, MN
National Provider Identifier
1376656512
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
331139 Issued in MN
Legal business name
PIERZ VILLA, INC.
Practice address
119 Faust St
Pierz, MN 56364-9540
Phone
(320) 468-6405
Fax
(320) 468-0088
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Benedict Birchem
Title
President
Phone
(320) 631-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 331139 MN Primary

Addresses

Primary practice location

119 Faust St
Pierz, MN 56364-9540

Mailing address

119 Faust St
PO Box 397
Pierz, MN 56364-9540
Phone (320) 468-6405

Other identifiers 4

IdentifierTypeStateIssuer
NH0385OtherMNUCARE
3D31PIOtherMNBLUE CROSS BLUE SHIELD
7111818OtherMNMEDICA
964657400MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090810000617 MN Part A Provider - Skilled Nursing Facility 3577617588 Practice locations: Pierz, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376656512. Details of each certification follow.

Skilled nursing facility certification: CCN 245286

Legal name
PIERZ VILLA, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1985
Last certification
Dec 13, 2024
Beds
45
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2009 in MN
Enrollment address
119 Faust St
Pierz, MN 56364-9540
Nursing home name
PIERZ VILLA INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pierz Villa IncCCN 245286 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4538.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Paula K Rocheleau Individual 5% Or Greater Indirect Ownership InterestPresident Jan 1, 2018 25%
Corporate OfficerCeo Jan 1, 2009 25%
Managing Control - Governing BodyPreident Dec 1, 2017
Adp of the SNF Jan 1, 2018
Megan Alvarado Individual Adp of the SNF Nov 1, 2024
Dean R Rocheleau Individual 5% Or Greater Indirect Ownership InterestDirector Jan 1, 2018 25%
Douglas Watkins Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Kimberly M Rocheleau Individual Operational/Managerial ControlRegional Director of Skilled Operat Jun 1, 2021
Adp of the SNF Jun 1, 2021
GR Partner Companies, Inc Organization, Royalton, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2018 100%
Adp of the SNF Jan 1, 2018
Nathan D Gruber Individual 5% Or Greater Indirect Ownership InterestDirector Jan 1, 2018 25%
Partners Senior Living Options LLC Organization, Royalton, MN LLC, Management services company, For-profit Operational/Managerial Control Dec 1, 2017
Adp of the SNF Apr 2, 2025
Kari J Gruber Individual 5% Or Greater Indirect Ownership InterestSecretary Jan 1, 2018 25%
Corporate OfficerSecretary Jan 1, 2009 25%
Managing Control - Governing BodySecretary Jan 1, 2009
Shannon McKenzie Individual Operational/Managerial Control Jun 1, 2020
Adp of the SNF Jun 1, 2020

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 2

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376656512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 FAUST ST",
            "address_2": "PO BOX 397",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563649540",
            "telephone_number": "320-468-6405",
            "fax_number": "320-468-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FAUST ST",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563649540",
            "telephone_number": "320-468-6405",
            "fax_number": "320-468-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERZ VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRCHEM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BENEDICT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-631-0008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0385",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3D31PI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "7111818",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "964657400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierz, MN

Sources for this page

Verify at the official NPI Registry.