Organization Active NPI

St. Anthony Nursing Home Limited Partnership

  • Skilled Nursing Facility
  • Minneapolis, MN
National Provider Identifier
1437192275
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328175 Issued in MN
Legal business name
ST. ANTHONY NURSING HOME LIMITED PARTNERSHIP
Doing business as
ST. ANTHONY HEALTH & REHABILITATION
Practice address
3700 Foss Rd
Minneapolis, MN 55421-4512
Phone
(612) 913-5304
Fax
(612) 788-0104
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
James A Weichert
Title
Authorized Official
Phone
(952) 361-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 329079 MN
Skilled Nursing Facility 314000000X 328175 MN Primary

Addresses

Primary practice location

3700 Foss Rd
Minneapolis, MN 55421-4512

Mailing address

1107 Hazeltine Blvd
Suite 200
Chaska, MN 55318-1009
Phone (952) 361-8000

Other identifiers 7

IdentifierTypeStateIssuer
8666ANOtherMNBCBS
266OtherMNHEALTH PARTNERS
369742800MedicaidMN
71-11817OtherMNMEDICA/FAIRVIEW PARTNERS
620063000OtherMNELDER WAIVER
NH0090OtherMNUCARE/FAIRVIEW PARTNERS
71-00060OtherMNMEDICA

Other names 1

  • ST. ANTHONY HEALTH & REHABILITATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080229000160 MN Part A Provider - Skilled Nursing Facility 0749364735 Practice locations: Minneapolis, MN

Skilled nursing facility certification: CCN 245267

Legal name
ST. ANTHONY NURSING HOME LIMITED PARTNERSHIP
Doing business as
ST. ANTHONY HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1984
Last certification
Apr 10, 2025
Beds
120 (110 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Monarch Healthcare Management
Organization structure
OtherProprietary
Incorporated
Apr 2, 1990 in MN
Enrollment address
3700 Foss Rd
Minneapolis, MN 55421-4512

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Anthony Health & RehabilitationCCN 245267 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11077.9 residents per day on average
Penalties (3 years)
1Fines totaling $10,203

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Pearl Garden2 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.

Ownership & related parties

All disclosed owners & managing parties 44

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

NameRoleSinceShare
Michael Miller Individual General Partnership Interest Jan 1, 2023 3.42%
Randall W Benson Individual 5% Or Greater Indirect Ownership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 5.68%
Corporate OfficerTreasurer of General Partner Jun 26, 2016 33.33%
Steven Matthew Kuretsky Individual General Partnership Interest Jan 1, 2023 0.96%
Dianne Karen Anderson Campbell Revocable Living Trust Organization, Phoenix, AZ Corporation General Partnership Interest Jan 1, 2023 1.56%
Merle J. Shapiro Revocable Intervivos Trust Dated May 2, 2016 Organization, Minneapolis, MN General Partnership Interest Jan 1, 2023 1.44%
John B Goodman Enterprises Inc Organization, Chaska, MN LLC, For-profit General Partnership Interest Apr 2, 1990 1%
Danny R. Peterka Revocable Trust U/a/D September 26, 2019 Organization, Eden Prairie, MN General Partnership Interest Jan 1, 2023 2.23%
Werner Ventures Limited Partnership Organization, Los Angeles, CA LLC General Partnership Interest Apr 2, 1990 8.84%
The Abby and Orin Rutchick Revocable Trust, Uta April 7, 2016 Organization, Berkeley, CA General Partnership Interest Jan 1, 2023 1.38%
Robert Sabes Trust No 1 Organization, Minnetonka, MN For-profit General Partnership Interest Jan 1, 2023 4.29%
Clinton V Knacke Individual Corporate OfficerChief Financial Officer Oct 12, 2022 100%
Stephen F Okinow Individual General Partnership Interest Jan 1, 2023 0.12%
Vikas Simon Mittal Individual Contracted Managing EmployeeMD; Nov 3, 2023
The Harold & Sandra Okinow Revocable Trust Organization, Bloomington, MN For-profit General Partnership Interest Jan 1, 2023 3.16%
Robert Sabes Trust No2 Organization, Minnetonka, MN Non-profit General Partnership Interest Jan 1, 2023 4.29%
Craig E Edinger Individual Corporate OfficerPresident of General Partner Oct 11, 2016 33.33%
OtherPresident of Home Office Adminis Oct 11, 2016
Thomas Jay Salmen Individual 5% Or Greater Indirect Ownership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 5.68%
Trudy S Weisberg Individual General Partnership Interest Jan 1, 2023 1.38%
South Dakota Trust Company, LLC Organization, Sioux Falls, SD LLC 5% Or Greater Indirect Ownership Interest Feb 28, 2017 5.68%
John B. Goodman 2006 Irrv Grantor TR Organization, Chaska, MN General Partnership Interest Feb 28, 2017 28.41%
David & Sara Lieberman Revocable Trust Organization, Bloomington, MN General Partnership Interest Jan 1, 2023 3.15%
David B Mersky Individual General Partnership Interest Jan 1, 2023 0.93%
Louis E & Sadie Wernick Generation Skipping Trust Agreement Fbo Paul R Organization, Minneapolis, MN Corporation General Partnership Interest Jan 1, 2023 2.58%
Burgess Hanson Individual General Partnership Interest Jan 1, 2023 1.77%
Cathy Sue Gleason Individual General Partnership Interest Jan 1, 2023 0.96%
Scott Anderson Individual General Partnership Interest Jan 1, 2023 1.58%
Paul M. & Carlyn D. Blum Joint Revocable Trust Organization, Rancho Mirage, CA General Partnership Interest Jan 1, 2023 4.98%
Donna M. Hanson Revocable Trust Organization, New Hope, MN General Partnership Interest Jan 1, 2023 1.77%
Louis E & Sadie Wernick Generation Skipping Trust Agreement Fbo Mark S Organization, St Louis Park, MN For-profit General Partnership Interest Jan 1, 2023 2.58%
The Goodman Group LLC Organization, Chaska, MN LLC, For-profit Other Jan 1, 2007
Mark Arnold Druy Individual General Partnership Interest Jan 1, 2023 1.39%
Mark L Wilson Individual 5% Or Greater Indirect Ownership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 5.68%
Jane Louise Jenni Individual General Partnership Interest Jan 1, 2023 1.91%
Shelley Solberg Individual W-2 Managing EmployeeAd; Apr 27, 2022 100%
Denise a Olson Individual Corporate OfficerSecretary of General Partner Oct 14, 2014 33.33%
The Goodman Group Properties LLC Organization, Chaska, MN LLC, For-profit General Partnership Interest Feb 28, 2017 7.59%
Edward M. Druy Trust Organization, Wayzata, MN General Partnership Interest Jan 1, 2023 1.38%
David Posthumus Individual General Partnership Interest Jan 1, 2023 2.24%
Stephen E. Lieberman Trust Organization, Bloomington, MN General Partnership Interest Jan 1, 2023 3.17%
Shed Investments Organization, Bloomington, MN Corporation, For-profit General Partnership Interest Jan 1, 2023 0.43%
Robert and Melinda Wernick 1997 Revocable Trust U/a/D 5/23/97 Organization, Rancho Mirage, CA General Partnership Interest Jan 1, 2023 2.58%
James a Weichert Individual 5% Or Greater Indirect Ownership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 5.68%
Corporate DirectorDirector Oct 1, 2016 100%
Jayne Ebanks Individual General Partnership Interest Jan 1, 2023 2.24%
Brett E. Anderson Living Trust Organization, Sarasota, FL General Partnership Interest Jan 1, 2023 1.39%

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 4

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.

Affiliated clinicians 1

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1437192275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FOSS RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214512",
            "telephone_number": "612-913-5304",
            "fax_number": "612-788-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY NURSING HOME LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "WEICHERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "952-361-8000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "329079",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8666AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "266",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369742800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/FAIRVIEW PARTNERS",
            "identifier": "71-11817",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER WAIVER",
            "identifier": "620063000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE/FAIRVIEW PARTNERS",
            "identifier": "NH0090",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "71-00060",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. ANTHONY HEALTH & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. ANTHONY HEALTH & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.