NPIMap

Organization Active NPI

The Emeralds at Faribault LLC

  • Skilled Nursing Facility
  • Faribault, MN
National Provider Identifier
1467926923
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE EMERALDS AT FARIBAULT LLC
Practice address
500 1St St SE
Faribault, MN 55021-6346
Phone
(507) 332-5100
NPI assigned
Jan 17, 2019
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Josh Legum
Title
Ceo
Phone
(507) 203-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

500 1St St SE
Faribault, MN 55021-6346

Mailing address

8833 Gross Point Rd Ste 208
Skokie, IL 60077-1859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190126000007 MN Part A Provider - Skilled Nursing Facility 0749527976 Practice locations: Faribault, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467926923. Details of each certification follow.

Skilled nursing facility certification: CCN 245067

Legal name
THE EMERALDS AT FARIBAULT LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
May 1, 2025
Beds
109
Ownership / control type
Corporation
Multi-facility organization
Monarch Healthcare Management
Organization structure
LLCProprietary
Incorporated
Jan 17, 2019 in MN
Enrollment address
500 1St St SE
Faribault, MN 55021-6346
Nursing home name
THE EMERALDS AT FAIRBAULT LLC
Affiliated entity
MONARCH HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Emeralds at Fairbault LLCCCN 245067 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10980.9 residents per day on average
Chain
Monarch Healthcare Management45 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0863338The Emeralds at Faribault500 1St St SE, Faribault, MN 55021Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

500 1st St SE
Faribault, MN 55021
Phone (507) 332-5100

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Spartan Healthcare LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 30%
WBS Holdings LLC Organization, Brooklyn, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 20%
William Stern Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 20%
Corporate OfficerChief Financial Officer Feb 1, 2019 20%
Marc Halpert Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 30%
Corporate OfficerChief Operations Officer Feb 1, 2019 30%
Jeffrey Arem Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 10%
Monarch Healthcare Operating VIII LLC Organization, Mankato, MN LLC, For-profit Operational/Managerial Control Feb 1, 2019 100%
Joshua Legum Individual Contracted Managing EmployeeCeo Feb 1, 2019 30%
5% Or Greater Indirect Ownership Interest Feb 1, 2019 30%
Yazoma Holdings, LLC Organization, Skokie, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 30%
Noam Jaffa Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 10%
Corporate DirectorDirector of Procurement Feb 1, 2019 10%
Nij LLC Organization, St Louis Park, MN LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 10%
Jca Holdings LLC Organization, Brooklyn, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 10%

Facilities with the same owner 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 5

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 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": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1467926923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 GROSS POINT RD STE 208",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 1ST ST SE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216346",
            "telephone_number": "507-332-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMERALDS AT FARIBAULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-203-1001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.