Active NPI
State of Minnesota - Minnesota Management and Budget
- Skilled Nursing Facility
- Fergus Falls, MN
On this page
- Key facts
- Authorized official
- Owned or controlled facilities with NPI records12
- Other NPIs on the same Medicare enrollment3
- Other NPIs with the same Medicare PAC ID4
- Subparts reporting this organization as parent9
- Corporate family (same tax ID)27
- Practitioners4
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- Skilled nursing facility certification: CCN 245636
- All disclosed owners & managing parties4
- All facility ownership & control disclosures12
- Medicare enrollment records2
- National Provider Directory
- Specialties & licenses1
- Addresses
- NPI Registry JSON
- Other providers in Fergus Falls, MN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 00531
- Legal business name
- STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET
- Practice address
- 1821 N Park St
Fergus Falls, MN 56537-1247 - Phone
- (218) 226-6300
- NPI assigned
- Jul 15, 2013
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Scott Buchanan
- Title
- Administrator
- Phone
- (218) 736-0400
Owned or controlled facilities with NPI records 12
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital
- Anoka, MN
- NPI 1275585564
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Willmar, MN
- NPI 1285760363
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Annandale, MN
- NPI 1225130487
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Bemidji, MN
- NPI 1043331358
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Baxter, MN
- NPI 1487715033
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Fergus Falls, MN
- NPI 1962583039
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Rochester, MN
- NPI 1669418851
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Silver Bay, MN
- NPI 1952742256
Operational/Managerial Control
-
- Community Based Hospice Care Agency
- Atlanta, GA
- NPI 1891494753
5% Or Greater Indirect Ownership Interest
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1114023678
5% Or Greater Indirect Ownership Interest
-
- Community Based Hospice Care Agency
- Mandeville, LA
- NPI 1962149344
5% Or Greater Indirect Ownership Interest
-
- Community Based Hospice Care Agency
- Gold River, CA
- NPI 1730795071
5% Or Greater Indirect Ownership Interest
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1295025864
O20040303000532
-
- Skilled Nursing Facility
- Luverne, MN
- NPI 1568735090
O20040303000532
-
- Skilled Nursing Facility
- Silver Bay, MN
- NPI 1952742256
O20040303000532
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1295025864
1658268677
-
- Skilled Nursing Facility
- Luverne, MN
- NPI 1568735090
1658268677
-
- Long Term Care Pharmacy
- Minneapolis, MN
- NPI 1891021390
1658268677
-
- Skilled Nursing Facility
- Silver Bay, MN
- NPI 1952742256
1658268677
Subparts reporting this organization as parent 9
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- General Practice Dentistry
- Bemidji, MN
- NPI 1144036393
-
- Skilled Nursing Facility
- Montevideo, MN
- NPI 1407562309
-
- General Practice Dentistry
- Montevideo, MN
- NPI 1407662653
-
- General Practice Dentistry
- Preston, MN
- NPI 1609682855
-
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1295025864
-
- Adult Day Care Clinic/Center
- Minneapolis, MN
- NPI 1346709268
-
- Assisted Living Facility
- Hastings, MN
- NPI 1508165457
-
- Long Term Care Pharmacy
- Minneapolis, MN
- NPI 1891021390
-
- Skilled Nursing Facility
- Silver Bay, MN
- NPI 1952742256
Corporate family (same tax ID) 27
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Walker, MN
- NPI 1578557484
-
- Local Education Agency (LEA)
- Woodbury, MN
- NPI 1669929956
-
- Children's Substance Abuse Rehabilitation Facility
- Togo, MN
- NPI 1275731317
-
- Public Health or Welfare Agency
- Saint Paul, MN
- NPI 1851789663
-
- Health Service Clinic/Center
- Saint Paul, MN
- NPI 1932597002
-
- Local Education Agency (LEA)
- Faribault, MN
- NPI 1073738431
-
- Clinic/Center
- Moorhead, MN
- NPI 1306384649
-
- Psychiatric Hospital
- Saint Peter, MN
- NPI 1477925444
-
- Psychiatric Residential Treatment Facility
- Moose Lake, MN
- NPI 1639355902
-
- Local Education Agency (LEA)
- Golden Valley, MN
- NPI 1699190405
-
- General Practice Dentistry
- Bemidji, MN
- NPI 1144036393
-
- Skilled Nursing Facility
- Montevideo, MN
- NPI 1407562309
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Silver Bay, MN
- NPI 1114369196
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1063479996
-
- Registered Nurse
- Minneapolis, MN
- NPI 1376844316
-
- Adult Health Nurse Practitioner
- Minneapolis, MN
- NPI 1659638690
Care Compare: Nursing home
Medicare Care Compare- Listed as
- MN Veterans Home-Fergus Falls
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - State
- Certified
- Jul 6, 2018
- Medicare certification status
- Active
- Certified beds
- 85
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 24D0941370 | Minnesota Veterans Home - Fergus Falls | Certificate of waiver | Aug 12, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Skilled nursing facility certification: CCN 245636
Medicare enrollment files- Legal name
- STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET
- Doing business as
- MINNESOTA VETERANS HOME - FERGUS FALLS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 6, 2018
- Last certification
- Feb 5, 2025
- Beds
- 85
- Ownership / control type
- State
- Organization structure
- Other
- Incorporated
- Jan 1, 1887 in MN
- Enrollment address
- 1821 N Park St
Fergus Falls, MN 56537-1247 - Nursing home name
- MN VETERANS HOME FERGUS FALLS
All disclosed owners & managing parties 4
Medicare enrollment filesAs 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 |
|---|---|---|---|
| Douglas J Hughes | Corporate Director | Jul 5, 2016 | |
| W-2 Managing Employee | Jul 5, 2019 | ||
| Operational/Managerial Control | Aug 1, 1997 | 100% | |
| Geoffrey M Melby | Operational/Managerial Control | Aug 1, 1997 | 100% |
| Jonathan B Stone | W-2 Managing Employee | Mar 15, 2021 | |
| Nancy F Curtis | W-2 Managing Employee | Dec 24, 2018 |
All facility ownership & control disclosures 12
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Behavioral Health Hospital-Fergus Falls | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 26, 2006 |
| Community Behavioral Health Hospital-Annandale | Hospital | 5% Or Greater Direct Ownership Interest | Aug 8, 2006 |
| CBHH Baxter | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 17, 2007 |
| Anoka Metro Regional Treatment Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 11, 2008 |
| Community Behavioral Health Hospital Bemidji | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Mar 8, 2007 |
| CBHH - Rochester | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 14, 2006 |
| Child & Adolescent Behavioral Health Services | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Minnesota Veterans Home - Silver Bay | Skilled nursing facility | Operational/Managerial Control (100%) | Jul 28, 2008 |
| Interim Healthcare of Treasure Coast, Inc. | Home health agency | 5% Or Greater Indirect Ownership Interest (7.08%) | Oct 29, 2021 |
| Interim Healthcare Hospice - Sacramento Area | Hospice | 5% Or Greater Indirect Ownership Interest (7.08%) | Nov 4, 2021 |
| Interim Healthcare San Jose LLC | Hospice | 5% Or Greater Indirect Ownership Interest (7.08%) | Dec 1, 2021 |
| Interim Healthcare Hospice of Atlanta | Hospice | 5% Or Greater Indirect Ownership Interest (7.08%) | Feb 17, 2023 |
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303000532 | MN | Part B Supplier - Clinic/Group Practice | 1658268677 |
Receives reassigned benefits from 7 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fergus Falls, MN; Luverne, MN; Minneapolis, MN; Silver Bay, MN |
| O20170915000074 | MN | Part a Provider - Skilled Nursing Facility | 1658268677 | Practice locations: Fergus Falls, MN |
National Provider Directory
National Provider Directory- Tax ID family
- Minnesota Correctional Facility -Togo
Locations
1821 N Park St
Fergus Falls, MN 56537
Phone (218) 226-6300
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 00531 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1821 N Park St
Fergus Falls, MN 56537-1247
Mailing address
5101 Minnehaha Ave
Minneapolis, MN 55417-1647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2017.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507161600000",
"number": "1609217900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 MINNEHAHA AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 N PARK ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565371247",
"telephone_number": "218-226-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-15",
"last_updated": "2017-10-05",
"status": "A",
"authorized_official_last_name": "BUCHANAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "218-736-0400"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": "00531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.