Active NPI
St. Anthony Nursing Home Limited Partnership
- Skilled Nursing Facility
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 328175
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8666AN | Other | MN | BCBS |
| 266 | Other | MN | HEALTH PARTNERS |
| 369742800 | Medicaid | MN | |
| 71-11817 | Other | MN | MEDICA/FAIRVIEW PARTNERS |
| 620063000 | Other | MN | ELDER WAIVER |
| NH0090 | Other | MN | UCARE/FAIRVIEW PARTNERS |
| 71-00060 | Other | MN | MEDICA |
Other names 1
- ST. ANTHONY HEALTH & REHABILITATION
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Other
- 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 & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1984
- Medicare certification status
- Active
- Certified beds
- 110
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Pearl Garden
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Minneapolis, MN
- NPI 1740953546
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Miller | General Partnership Interest | Jan 1, 2023 | 3.42% |
| Randall W Benson | 5% Or Greater Indirect Ownership Interest | Feb 28, 2017 | 5.68% |
| Corporate Officer | Jun 26, 2016 | 33.33% | |
| Steven Matthew Kuretsky | General Partnership Interest | Jan 1, 2023 | 0.96% |
| Dianne Karen Anderson Campbell Revocable Living Trust | General Partnership Interest | Jan 1, 2023 | 1.56% |
| Merle J. Shapiro Revocable Intervivos Trust Dated May 2, 2016 | General Partnership Interest | Jan 1, 2023 | 1.44% |
| John B Goodman Enterprises Inc | General Partnership Interest | Apr 2, 1990 | 1% |
| Danny R. Peterka Revocable Trust U/a/D September 26, 2019 | General Partnership Interest | Jan 1, 2023 | 2.23% |
| Werner Ventures Limited Partnership | General Partnership Interest | Apr 2, 1990 | 8.84% |
| The Abby and Orin Rutchick Revocable Trust, Uta April 7, 2016 | General Partnership Interest | Jan 1, 2023 | 1.38% |
| Robert Sabes Trust No 1 | General Partnership Interest | Jan 1, 2023 | 4.29% |
| Clinton V Knacke | Corporate Officer | Oct 12, 2022 | 100% |
| Stephen F Okinow | General Partnership Interest | Jan 1, 2023 | 0.12% |
| Vikas Simon Mittal | Contracted Managing Employee | Nov 3, 2023 | |
| The Harold & Sandra Okinow Revocable Trust | General Partnership Interest | Jan 1, 2023 | 3.16% |
| Robert Sabes Trust No2 | General Partnership Interest | Jan 1, 2023 | 4.29% |
| Craig E Edinger | Corporate Officer | Oct 11, 2016 | 33.33% |
| Other | Oct 11, 2016 | ||
| Thomas Jay Salmen | 5% Or Greater Indirect Ownership Interest | Feb 28, 2017 | 5.68% |
| Trudy S Weisberg | General Partnership Interest | Jan 1, 2023 | 1.38% |
| South Dakota Trust Company, LLC | 5% Or Greater Indirect Ownership Interest | Feb 28, 2017 | 5.68% |
| John B. Goodman 2006 Irrv Grantor TR | General Partnership Interest | Feb 28, 2017 | 28.41% |
| David & Sara Lieberman Revocable Trust | General Partnership Interest | Jan 1, 2023 | 3.15% |
| David B Mersky | General Partnership Interest | Jan 1, 2023 | 0.93% |
| Louis E & Sadie Wernick Generation Skipping Trust Agreement Fbo Paul R | General Partnership Interest | Jan 1, 2023 | 2.58% |
| Burgess Hanson | General Partnership Interest | Jan 1, 2023 | 1.77% |
| Cathy Sue Gleason | General Partnership Interest | Jan 1, 2023 | 0.96% |
| Scott Anderson | General Partnership Interest | Jan 1, 2023 | 1.58% |
| Paul M. & Carlyn D. Blum Joint Revocable Trust | General Partnership Interest | Jan 1, 2023 | 4.98% |
| Donna M. Hanson Revocable Trust | General Partnership Interest | Jan 1, 2023 | 1.77% |
| Louis E & Sadie Wernick Generation Skipping Trust Agreement Fbo Mark S | General Partnership Interest | Jan 1, 2023 | 2.58% |
| The Goodman Group LLC | Other | Jan 1, 2007 | |
| Mark Arnold Druy | General Partnership Interest | Jan 1, 2023 | 1.39% |
| Mark L Wilson | 5% Or Greater Indirect Ownership Interest | Feb 28, 2017 | 5.68% |
| Jane Louise Jenni | General Partnership Interest | Jan 1, 2023 | 1.91% |
| Shelley Solberg | W-2 Managing Employee | Apr 27, 2022 | 100% |
| Denise a Olson | Corporate Officer | Oct 14, 2014 | 33.33% |
| The Goodman Group Properties LLC | General Partnership Interest | Feb 28, 2017 | 7.59% |
| Edward M. Druy Trust | General Partnership Interest | Jan 1, 2023 | 1.38% |
| David Posthumus | General Partnership Interest | Jan 1, 2023 | 2.24% |
| Stephen E. Lieberman Trust | General Partnership Interest | Jan 1, 2023 | 3.17% |
| Shed Investments | General Partnership Interest | Jan 1, 2023 | 0.43% |
| Robert and Melinda Wernick 1997 Revocable Trust U/a/D 5/23/97 | General Partnership Interest | Jan 1, 2023 | 2.58% |
| James a Weichert | 5% Or Greater Indirect Ownership Interest | Feb 28, 2017 | 5.68% |
| Corporate Director | Oct 1, 2016 | 100% | |
| Jayne Ebanks | General Partnership Interest | Jan 1, 2023 | 2.24% |
| Brett E. Anderson Living Trust | 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.
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1629038377
Contracted Managing Employee
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Missoula, MT
- NPI 1811954662
South Dakota Trust Company, LLC
-
- Skilled Nursing Facility
- Largo, FL
- NPI 1063440493
South Dakota Trust Company, LLC
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1205311305
South Dakota Trust Company, LLC
-
- Skilled Nursing Facility
- Clearwater, FL
- NPI 1184667941
South Dakota Trust Company, LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1063649945
-
- Emergency Medical Services (Emergency Medicine) Physician
- Cambridge, MN
- NPI 1417123688
-
- Geriatric Medicine (Internal Medicine) Physician
- Minneapolis, MN
- NPI 1336177971
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Cambridge, MN
- NPI 1417123688
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.