Active NPI
Villas at St Paul LLC
- Skilled Nursing Facility
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VILLAS AT ST PAUL LLC
- Practice address
- 445 Galtier St
Saint Paul, MN 55103-2358 - Phone
- (651) 224-1848
- NPI assigned
- Nov 25, 2022
- Last updated
- Nov 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josh Legum
- Title
- President
- Phone
- (507) 203-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
445 Galtier St
Saint Paul, MN 55103-2358
Mailing address
2361 Nostrand Ave Ste 903
Brooklyn, NY 11210-3953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221229000095 | MN | Part A Provider - Skilled Nursing Facility | 4486024858 | Practice locations: Saint Paul, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1588374052. Details of each certification follow.
Skilled nursing facility certification: CCN 245340
- Legal name
- VILLAS AT ST PAUL LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1986
- Last certification
- Apr 3, 2025
- Beds
- 105
- Ownership / control type
- Corporation
- Multi-facility organization
- Monarch Healthcare Organization
- Organization structure
- LLC
- Incorporated
- Sep 12, 2022 in MN
- Enrollment address
- 445 Galtier St
Saint Paul, MN 55103-2358 - Nursing home name
- THE VILLAS AT ST PAUL
- Affiliated entity
- MONARCH HEALTHCARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Villas at St Paul
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 1, 1986
- Medicare certification status
- Active
- Certified beds
- 105
- Chain
- Monarch Healthcare Management
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0677363 | Villas at St. Paul | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Spartan Healthcare LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 32% |
| WBS Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 26% |
| William Stern | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 26% |
| Corporate Officer | Jan 1, 2023 | 26% | |
| Marc Halpert | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 32% |
| Corporate Officer | Jan 1, 2023 | 32% | |
| Operational/Managerial Control | Jan 1, 2023 | 32% | |
| Joshua Legum | Contracted Managing Employee | Jan 1, 2023 | 26% |
| 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 26% | |
| Yazoma Holdings, LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 26% |
| Noam Jaffa | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 16% |
| Corporate Director | Jan 1, 2023 | 16% | |
| Nij LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 16% |
| Monarch Healthcare Operating XII LLC | Operational/Managerial Control | Jan 1, 2023 | 100% |
Facilities with the same owner 44
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Gaylord, MN
- NPI 1710646641
Nij LLC, Spartan Healthcare LLC, WBS Holdings LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Alexandria, MN
- NPI 1609380500
Nij LLC, Spartan Healthcare LLC, WBS Holdings LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1952849416
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1417495987
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Delano, MN
- NPI 1144768615
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Excelsior, MN
- NPI 1053859520
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Fridley, MN
- NPI 1962940437
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Stillwater, MN
- NPI 1871031344
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Stillwater, MN
- NPI 1598203069
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Saint Paul, MN
- NPI 1952849424
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Roseville, MN
- NPI 1861930331
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Rush City, MN
- NPI 1770021248
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1639457419
-
- Geriatric Medicine (Family Medicine) Physician
- Saint Paul, MN
- NPI 1265529663
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1295709855
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Minneapolis, MN
- NPI 1407821754
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Saint Paul, MN
- NPI 1265529663
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669334400000",
"number": "1588374052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2361 NOSTRAND AVE STE 903",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 GALTIER ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032358",
"telephone_number": "651-224-1848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAS AT ST PAUL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-25",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A",
"authorized_official_last_name": "LEGUM",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-203-1001"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
- Village Community Clinic Inc (Village Community Clinic)
- Village Eye Care LLC
- Village Wellness Center Inc. (Village Wellness Center)
- Emily Jean Villalobos, RN, PHN, BSN
- Emma Eileen Villamaria, MD
- Frank Eugene Villaume IV, M.D.
- Lourdes Gomez Villaume, MD
- Alberto Isaac Villegas Licona, D.C.
- Rochelle Vincent
- Craig Jon Vine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.