NPIMap

Organization Active NPI

Elim Homes, Inc

Doing business as Elim Care Center

  • Skilled Nursing Facility
  • Fargo, ND
National Provider Identifier
1548915697
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELIM HOMES, INC
Doing business as
Elim Care Center
Fargo Elim Health Care Center
Practice address
3534 University Dr S
Fargo, ND 58104-6228
Phone
(952) 855-5041
NPI assigned
Feb 17, 2022
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Seelochani Stadtherr
Title
Avp, Revenue Cycle Management
Phone
(952) 855-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3534 University Dr S
Fargo, ND 58104-6228

Mailing address

7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041

Other names 2

  • Elim Care Center Doing business as
  • Fargo Elim Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220329000557 ND Part A Provider - Skilled Nursing Facility 0042121618 Practice locations: Fargo, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548915697. Details of each certification follow.

Skilled nursing facility certification: CCN 355129

Legal name
ELIM HOMES INC
Doing business as
FARGO ELIM HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 10, 2022
Last certification
Feb 20, 2025
Beds
88
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 29, 1986 in MN
Enrollment address
3534 University Dr S
Fargo, ND 58104-6228
Nursing home name
FARGO ELIM HEALTH CARE CENTER
Affiliated entity
CASSIA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fargo Elim Health Care CenterCCN 355129 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 10, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8884.5 residents per day on average
Chain
Cassia16 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Elim Homes Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1362 Babcock Blvd E
Delano, MN 55328
Phone (763) 972-8200

405 Babcock Blvd E
Ste 140
Delano, MN 55328
Phone (763) 972-8200

200 Lewis Ave S
Ste 210
Watertown, MN 55388
Phone (952) 955-1963

409 Jefferson Ave SW
Watertown, MN 55388
Phone (952) 955-2691

3534 University Dr S
Fargo, ND 58104
Phone (701) 271-1800

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
Guy P Tangedahl Individual Corporate DirectorBoard Member May 17, 2012
Nicolette L Weber-Daniels Individual Corporate DirectorBoard Member Jun 24, 2021
Patrick Joseph Nuss Individual Corporate DirectorBoard Member May 19, 2005
Elim Care Inc Organization, Edina, MN Non-profit 5% Or Greater Direct Ownership Interest Jan 29, 1986 100%
William S Leff Individual Corporate DirectorBoard Member May 18, 2000
Kathryn Lee Youngquist Individual Corporate OfficerChief Financial Officer Jan 29, 1986
Cassia Organization, Edina, MN Management services company Operational/Managerial Control Jan 1, 2018
Renee M Muhonen Individual Operational/Managerial Control Jul 15, 2015
Robert Mahlon Dahl Individual Corporate OfficerPresident/Ceo Jan 29, 1986
Paul a Anderson Individual Corporate DirectorBoard Member Jun 24, 2021
Matthew Ray Kern Individual Corporate OfficerChief Operating Officer Feb 28, 2019

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 3

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 2

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": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1548915697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392142",
            "telephone_number": "952-855-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046228",
            "telephone_number": "952-855-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIM HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "SEELOCHANI",
        "authorized_official_title_or_position": "AVP, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "952-855-5041"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elim Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fargo Elim Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.