Pierz Villa, Inc.
Organization Active NPI Skilled Nursing Facility · Pierz, MN
NPI 1376656512 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376656512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 331139 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. James Benedict Birchem
- Title
- President
- Phone
- (320) 631-0008
Facilities with the same owner 5
Practitioners 2
-
Kelsi K. Nelson, M.D.
-
Douglas J Watkins, M.D.
Affiliated clinicians 2
-
Mark John Moe, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Pierz Villa Inc
- 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
- Active
- Certified beds
- 45 · 38.6 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
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
- Corporation · Proprietary
- Incorporated
- Jan 1, 2009 in MN
- Enrollment address
- 119 Faust St
Pierz, MN 56364-9540 - Nursing home name
- PIERZ VILLA INC
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Paula K Rocheleau |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2018 | 25% |
| Corporate Officer |
Jan 1, 2009 | 25% | |
| Managing Control - Governing Body |
Dec 1, 2017 | ||
| Adp of the SNF | Jan 1, 2018 | ||
| Megan Alvarado |
Adp of the SNF | Nov 1, 2024 | |
| Dean R Rocheleau |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2018 | 25% |
| Douglas Watkins |
Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Kimberly M Rocheleau |
Operational/Managerial Control |
Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| GR Partner Companies, Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 100% |
| Adp of the SNF | Jan 1, 2018 | ||
| Nathan D Gruber |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2018 | 25% |
| Partners Senior Living Options LLC |
Operational/Managerial Control | Dec 1, 2017 | |
| Adp of the SNF | Apr 2, 2025 | ||
| Kari J Gruber |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2018 | 25% |
| Corporate Officer |
Jan 1, 2009 | 25% | |
| Managing Control - Governing Body |
Jan 1, 2009 | ||
| Shannon McKenzie |
Operational/Managerial Control | Jun 1, 2020 | |
| Adp of the SNF | Jun 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090810000617 | MN | Part a Provider - Skilled Nursing Facility | 3577617588 | Practice locations: Pierz, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 331139 | MN | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3D31PI | Other | MN | BLUE CROSS BLUE SHIELD |
| 7111818 | Other | MN | MEDICA |
| 964657400 | Medicaid | MN | |
| NH0385 | Other | MN | UCARE |
Other providers in Pierz, MN
- Kelsey Anne Meyer
- Minnesota Drug Acquisition Co LLC
- Pierz Chiropractic Center, P.C
- Pierz Dental Clinic, PA
- Pierz Family Dentistry
- Nora Poster
- Rich Prairie Chiropractic, Inc.
- St. Joseph'S Medical Center
- Heather Kay Swanson
- Joseph Bernard Tax
All providers in Pierz, MN · Skilled Nursing Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.