Episcopal Church Home of Minnesota

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

331932 Issued in MN

Legal business name

EPISCOPAL CHURCH HOME OF MINNESOTA

Practice address

1879 Feronia Ave
Saint Paul, MN 55104-3549

Phone

(651) 646-4061

Fax

(651) 632-8806

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Plakut

Title

Ceo

Phone

(651) 632-8851

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487711321. Details of each certification follow.

• CCN 245452 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245452

Legal name

EPISCOPAL CHURCH HOME OF MINNESOTA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 1, 1987

Last certification

Mar 6, 2025

Beds

131

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 24, 1897 in MN

Enrollment address

1879 Feronia Ave
Saint Paul, MN 55104-3549

Nursing home name

EPISCOPAL CHURCH HOME OF MINNESOTA

Listed as

Episcopal Church Home of MinnesotaCCN 245452 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 1, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

131108.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Episcopal Chrch Home of Minnesota2 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.

• Episcopal Chrch Home of Minnesota

  • Nursing Facility/Intermediate Care Facility
  • Saint Paul, MN
  • NPI 1982600482
  NPD tax ID

Locations

All disclosed owners & managing parties 25

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jennifer L Welsh, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1215045885

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Beyond Hospice

  • Community Based Hospice Care Agency
  • Oakdale, MN
  • NPI 1386355469

  Episcopal Homes of Minnesota

  CMS ownership
• Episcopal Homes on University Avenue, LLC

  dba Episcopal Church Home The Gardens

  • Skilled Nursing Facility
  • Saint Paul, MN
  • NPI 1104236512

  Eh Services Inc, Episcopal Homes of Minnesota

  CMS ownership

Practitioners 4

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.

• Janet L Bijwadia, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1346420916
  NPD (past)
• Bradley Allen Langley, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1083604722
  NPD (past)
• Benjamin Eli Mishler Rosenstein, MD

  • Family Medicine Physician
  • Saint Paul, MN
  • NPI 1346771920
  NPD (past)
• Khoula B. Sikander, MD

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1427258938
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ashley Kumar, DNP, AGNP-C

  • Gerontology Nurse Practitioner
  • Minneapolis, MN
  • NPI 1922725605

  Nursing home

  Care Compare affiliation
• Bradley Allen Langley, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1083604722

  Nursing home

  Care Compare affiliation
• Benjamin Eli Mishler Rosenstein, MD

  • Family Medicine Physician
  • Saint Paul, MN
  • NPI 1346771920

  Nursing home

  Care Compare affiliation
• Khoula B. Sikander, MD

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1427258938

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487711321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 FERONIA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043549",
            "telephone_number": "651-646-4061",
            "fax_number": "651-632-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 FERONIA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043549",
            "telephone_number": "651-646-4061",
            "fax_number": "651-632-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL CHURCH HOME OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLAKUT",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-632-8851",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419042400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ephesians Home Care LLC
• Epic Therapy
• Epic Therapy
• Epimonia Transport LLC
• Episcopal Chrch Home of Minnesota
• Episcopal Corporation for the Elderly (Iris Park Commons)
• Episcopal Home Care and Services
• Episcopal Homes on University Avenue, LLC (Episcopal Church Home The Gardens)
• Equinox Health Services L.L.C.
• Equity Consulting Partners LLC (Wellness Pharmacy)

• Skilled Nursing Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.