Active NPI
Southview Operations LLC
- Skilled Nursing Facility
- West St. Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SOUTHVIEW OPERATIONS LLC
- Practice address
- 2000 Oakdale Avenue
West St. Paul, MN 55118 - Phone
- (651) 554-9500
- NPI assigned
- Oct 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akiko Ike
- Title
- Owner
- Phone
- (917) 434-2689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2000 Oakdale Avenue
West St. Paul, MN 55118
Mailing address
2000 Oakdale Ave
West St Paul, MN 55118-4662
Phone (651) 554-9500
Other names 1
- Southview Acres Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190228000914 | MN | Part A Provider - Skilled Nursing Facility | 9739428269 | Practice locations: West St Paul, MN |
Skilled nursing facility certification: CCN 245189
- Legal name
- SOUTHVIEW OPERATIONS LLC
- Doing business as
- SOUTHVIEW ACRES HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 15, 1974
- Last certification
- Jan 9, 2025
- Beds
- 210
- Ownership / control type
- Corporation
- Multi-facility organization
- Superior Health Care Management
- Organization structure
- LLC
- Enrollment address
- 2000 Oakdale Ave
West St Paul, MN 55118-4662 - Nursing home name
- SOUTHVIEW ACRES HEALTHCARE CENTER
- Affiliated entity
- AKIKO IKE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Southview Acres Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 15, 1974
- Medicare certification status
- Active
- Certified beds
- 210
- Chain
- Akiko Ike
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Birdie Holdings, LLC | Adp of the SNF | Feb 25, 2019 | |
| Christa K Hoiland | Operational/Managerial Control | Jun 1, 2017 | |
| Adp of the SNF | Jun 1, 2017 | ||
| Bogey Holdings, LLC | 5% Or Greater Direct Ownership Interest | Feb 25, 2019 | 100% |
| Eran Ratner | Adp of the SNF | Feb 25, 2019 | |
| Rhonda S Lewis | Operational/Managerial Control | May 20, 2016 | |
| Adp of the SNF | May 20, 2016 | ||
| David M Fistel SV LLC | Adp of the SNF | Feb 23, 2019 | |
| Akiko Ike | 5% Or Greater Indirect Ownership Interest | Feb 25, 2019 | 100% |
| Operational/Managerial Control | Feb 25, 2019 | ||
| Adp of the SNF | Feb 25, 2019 | ||
| Toba a Katz | Adp of the SNF | Jun 12, 2018 | |
| Rose M Litke | Operational/Managerial Control | Oct 18, 2022 | |
| Adp of the SNF | Oct 18, 2022 | ||
| Nicole Folston | Operational/Managerial Control | Jan 23, 2024 | |
| Adp of the SNF | Jan 23, 2024 | ||
| Gregory M Shahum | Operational/Managerial Control | Sep 1, 2023 | |
| Adp of the SNF | Sep 1, 2023 | ||
| Allyson Bartlett | Operational/Managerial Control | Apr 9, 2024 | |
| Adp of the SNF | Apr 9, 2024 | ||
| Shelby C Wigren | Operational/Managerial Control | Sep 23, 2024 | |
| Adp of the SNF | Sep 23, 2024 | ||
| Abe Katz | 5% Or Greater Indirect Ownership Interest | Feb 10, 2025 | 99% |
| Operational/Managerial Control | Feb 10, 2025 | ||
| Adp of the SNF | Jun 12, 2018 | ||
| Fairway WSP Realty LLC | Adp of the SNF | Feb 25, 2019 | |
| Akasa South Holdings LLC | Adp of the SNF | Feb 23, 2019 | |
| James E Feyder | Operational/Managerial Control | Jan 24, 2017 | |
| Adp of the SNF | Jan 24, 2017 | ||
| Melissa Ingvalsen | Operational/Managerial Control | Jun 25, 2024 | |
| Adp of the SNF | Jun 25, 2024 | ||
| Asiv Holdings LLC | Adp of the SNF | Feb 25, 2019 | |
| Beachfront Holdings, LLC | Adp of the SNF | Feb 25, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1487605655
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1073740668
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1063649945
-
- Internal Medicine Physician
- St Cloud, MN
- NPI 1033127287
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1245292424
-
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1457546509
-
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1972795060
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1659364099
-
- Geriatric Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1235457763
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1235457763
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539216000000",
"number": "1396210779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 OAKDALE AVE",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551184662",
"telephone_number": "651-554-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OAKDALE AVENUE",
"city": "WEST ST. PAUL",
"state": "MN",
"postal_code": "55118",
"telephone_number": "651-554-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHVIEW OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-11",
"last_updated": "2018-10-11",
"status": "A",
"authorized_official_last_name": "IKE",
"authorized_official_first_name": "AKIKO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-434-2689"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southview Acres Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West St. Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.