Maple Lawn Nursing Home, Inc.
Organization Active NPI Skilled Nursing Facility · Fulda, MN
NPI 1568458271 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1568458271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 328244 (MN)
- Legal business name
- MAPLE LAWN NURSING HOME, INC.
- Practice address
- 400 7TH St NE
Fulda, MN 56131-1122 - Phone
- (507) 425-2571
- Fax
- (507) 425-2573
- NPI assigned
- Sep 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Arlan G Swanson
- Title
- Administrator
- Phone
- (507) 425-2571
Owners & managing parties with NPI records 1
-
Howard Leibowitz, MD
Practitioners 1
-
Howard Leibowitz, MD
Medicare Care Compare: Nursing home
- Listed as
- Maple Lawn Senior Care
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 1, 1991
- Medicare certification status
- Active
- Certified beds
- 46 · 34.2 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0405217 | Maple Lawn Nursing Home | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Skilled nursing facility certification: CCN 245570
- Legal name
- MAPLE LAWN NURSING HOME INC
- Doing business as
- MAPLE LAWN SENIOR CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1991
- Last certification
- Dec 18, 2024
- Beds
- 46
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 24, 1962 in MN
- Enrollment address
- 400 7TH St NE
Fulda, MN 56131-1122 - Nursing home name
- MAPLE LAWN SENIOR CARE
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Jerrild Steiner |
Corporate Officer |
Feb 5, 2019 | |
| Corporate Director |
Jan 29, 2008 | ||
| Shannon Henning |
Corporate Officer |
Mar 1, 2024 | |
| Louise Johnson |
Corporate Director |
Feb 4, 2014 | |
| James Elsing |
Corporate Director |
Jan 1, 2021 | |
| Shelby Jass |
Corporate Officer |
Nov 1, 2022 | 100% |
| Corporate Director |
Nov 1, 2022 | 100% | |
| Operational/Managerial Control | Nov 1, 2022 | ||
| Adp of the SNF | Aug 19, 2025 | ||
| Howard Leibowitz |
Operational/Managerial Control | Dec 12, 2022 | |
| Adp of the SNF | Dec 12, 2023 | ||
| Susan a. Zins |
Corporate Director |
Feb 5, 2019 | |
| Linda Clausen |
Corporate Director |
Jan 30, 2018 | |
| Dean Vanoort |
Corporate Director |
Jan 1, 2025 | |
| Melissa Gehl |
Corporate Director |
Mar 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050110000169 | MN | Part a Provider - Skilled Nursing Facility | 2860440500 | Practice locations: Fulda, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 328244 | MN | Yes |
Addresses
Primary practice location
400 7TH St NE
Fulda, MN 56131-1122
Mailing address
400 7TH St NE
Fulda, MN 56131-1122
Phone (507) 425-2571
Other providers in Fulda, MN
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- Cynthia Elizabeth Hommer
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- Megan Ann Schryvers
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All providers in Fulda, 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 Nov 1, 2007. 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.