Lakewood Health Center
Organization Active NPI Skilled Nursing Facility · Baudette, MN
NPI 1538245386 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1538245386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 330061 (MN)
- Legal business name
- LAKEWOOD HEALTH CENTER
- Practice address
- 600 Main Ave S
Baudette, MN 56623-2855 - Phone
- (218) 634-2120
- Fax
- (218) 634-1094
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sharray A Palm
- Title
- Ceo
- Phone
- (218) 634-2120
Owners & managing parties with NPI records 1
-
Justin Quo, M.D.
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Practitioners 11
-
Justin Quo, M.D.
-
Fahd Arafat, MD
-
Marianne Renae Foldesi, PA-C
-
Gina Ann Lablanc, CNP
-
Morgan Marie Longtin, FNP-C
-
Matthew Albert McGee, PA-C
-
Jerry Russell Bartleson, M.D.
-
Sheila Diane Bullock, FNP-C
Affiliated clinicians 1
-
Justin Quo, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Lakewood Care Center
- 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
- Non profit - Church related
- Certified
- Oct 1, 1991
- Medicare certification status
- Active
- Certified beds
- 32 · 27.7 residents per day on average
- Chain
- Commonspirit Health
- Penalties (3 years)
- 1 · fines totaling $0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Skilled nursing facility certification: CCN 245580
- Legal name
- LAKEWOOD HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1991
- Last certification
- Sep 11, 2024
- Beds
- 32
- Ownership / control type
- Church Related
- Multi-facility organization
- Common Spirit Health
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 9, 1956 in MN
- Enrollment address
- 600 Main Ave S
Baudette, MN 56623-2855 - Nursing home name
- LAKEWOOD CARE CENTER
- Affiliated entity
- COMMONSPIRIT HEALTH
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Commonspirit Health |
5% Or Greater Direct Ownership Interest | Jul 1, 1996 | 100% |
| Jeffry a Stampohar |
Corporate Officer |
Jan 15, 2018 | |
| W-2 Managing Employee |
Jan 15, 2018 | ||
| Bradley Nylander |
Corporate Director |
Mar 1, 2017 | |
| Kevin E Lofton |
Corporate Officer |
Feb 1, 2019 | |
| James Austad |
Corporate Director |
Jul 1, 2019 | |
| Bruce Burton |
Corporate Director |
Jul 1, 2011 | |
| Brent J Schmidt |
Corporate Officer |
Jul 1, 2015 | |
| W-2 Managing Employee |
Jul 1, 2015 | ||
| Bernice M Ebner |
Corporate Director |
Jul 1, 2019 | |
| Crystal Olson |
Corporate Director |
Jul 1, 2019 | |
| Jeffrey Drop |
Corporate Officer |
Aug 1, 1994 | |
| Justin Quo |
Corporate Director |
Dec 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100604000537 | MN | Part a Provider - Skilled Nursing Facility | 5698687929 | Practice locations: Baudette, MN |
National Provider Directory
- Tax ID family
- Lakewood Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 330061 | MN | |
| Skilled Nursing Facility | 314000000X | 330061 | MN | Yes |
Addresses
Primary practice location
600 Main Ave S
Baudette, MN 56623-2855
Mailing address
600 Main Ave S
Baudette, MN 56623-2855
Phone (218) 634-2120
Other names
- LakeWood Care Center
Other providers in Baudette, MN
- Lake of the Woods County Social Services
- Lake of the Woods County Social Services
- Lakewood Health Center
- Lakewood Health Center
- Lakewood Health Center
- Lakewood Health Center
- Lakewood Health Center
- Lakewood Health Center
- Lakewood Health Center
- Lakewood Health Center
All providers in Baudette, MN · Skilled Nursing Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.