Active NPI
Koochiching Health Services
Doing business as Littlefork Care Center
- Skilled Nursing Facility
- Littlefork, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- KOOCHICHING HEALTH SERVICES
- Doing business as
- Littlefork Care Center
- Practice address
- 912 Main St
Littlefork, MN 56653-9357 - Phone
- (218) 278-6634
- Fax
- (218) 278-6637
- NPI assigned
- Jan 18, 2016
- Last updated
- Feb 5, 2025
- Organization subpart
- Yes
- Parent organization
- ST. FRANCIS HEALTH SERVICES OF MORRIS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Curtis Bach
- Title
- Cfo
- Phone
- (320) 589-4910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
912 Main St
Littlefork, MN 56653-9357
Mailing address
801 Nevada Ave Ste 100
Morris, MN 56267-1874
Phone (320) 589-2004
Other names 1
- Littlefork Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160205001167 | MN | Part A Provider - Skilled Nursing Facility | 8820392277 | Practice locations: Littlefork, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609233980. Details of each certification follow.
Skilled nursing facility certification: CCN 245542
- Legal name
- KOOCHICHING HEALTH SERVICES
- Doing business as
- LITTLEFORK CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 24, 1991
- Last certification
- Feb 27, 2025
- Beds
- 42
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- St. Francis Health Services
- Organization structure
- Corporation
- Incorporated
- Dec 23, 2015 in MN
- Enrollment address
- 912 Main St
Littlefork, MN 56653-9378 - Nursing home name
- LITTLEFORK CARE CENTER
- Affiliated entity
- ST. FRANCIS HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Littlefork Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 24, 1991
- Medicare certification status
- Active
- Certified beds
- 42
- Chain
- St. Francis Health Services
- 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 |
|---|---|---|---|
| 24D2111016 | Littlefork Care Center | Certificate of waiver | Mar 28, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Jack Pine Chateau
- Part of
- St Francis Health Services of Morris Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Jack Pine Chateau
- Assisted Living Facility
- Littlefork, MN
- NPI 1063870129
-
dba Littlefork Medical Center
- Non-emergency Medical Transport (VAN)
- Littlefork, MN
- NPI 1295879906
Ownership & related parties
All disclosed owners & managing parties 39
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 |
|---|---|---|---|
| Reed Hofmann | Operational/Managerial Control | May 8, 2023 | |
| Adp of the SNF | May 8, 2023 | ||
| Jeffrey Copeman | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Jennifer Ann Goodnough | Corporate Director | Jan 1, 2021 | |
| Operational/Managerial Control | Jan 1, 2021 | ||
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Erin Nash | Operational/Managerial Control | Jul 28, 2025 | |
| Adp of the SNF | Jul 28, 2025 | ||
| Megan Caspers | Operational/Managerial Control | Dec 29, 2014 | |
| Adp of the SNF | Dec 29, 2014 | ||
| Cami Cay Peterson-Devries | Corporate Officer | May 8, 2022 | |
| Corporate Director | May 8, 2022 | ||
| Operational/Managerial Control | May 8, 2022 | ||
| Adp of the SNF | May 8, 2022 | ||
| Steven Edward Lienemann | Corporate Director | Dec 31, 2011 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Timothy Chris Gramm | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Amanda Burrows | Operational/Managerial Control | Jan 2, 2024 | |
| Adp of the SNF | Jan 2, 2024 | ||
| Michael Evalthen Lair | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Cindy Tomczak | Adp of the SNF | Jun 15, 2023 | |
| International Falls Memorial Hospital Association | Operational/Managerial Control | Apr 1, 2016 | |
| Adp of the SNF | Oct 23, 2025 | ||
| Wanda Grashorn | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| April Tomoson | Operational/Managerial Control | Jul 12, 2021 | |
| Adp of the SNF | Jul 12, 2021 | ||
| Douglas William Ehlers | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Amy Walker | Operational/Managerial Control | May 13, 2024 | |
| Adp of the SNF | May 13, 2024 | ||
| Daniel Lee Dripps | Corporate Director | Jan 1, 2016 | |
| Operational/Managerial Control | Jan 1, 2016 | ||
| Managing Control - Governing Body | Jan 1, 2016 | ||
| Adp of the SNF | Jan 1, 2016 | ||
| Curtis Allan Bach | Corporate Officer | Aug 28, 2024 | |
| Corporate Director | Aug 28, 2024 | ||
| Operational/Managerial Control | Aug 28, 2024 | ||
| Adp of the SNF | Aug 28, 2024 | ||
| Geoffrey Ryan | Operational/Managerial Control | Jan 12, 1998 | |
| Adp of the SNF | Jan 12, 1998 | ||
| Lorraine Ann Wiese | Corporate Director | Jul 25, 2017 | |
| Operational/Managerial Control | Jul 25, 2017 | ||
| Managing Control - Governing Body | Jul 25, 2017 | ||
| Adp of the SNF | Jul 25, 2017 | ||
| St. Francis Health Services of Morris, Inc | 5% Or Greater Direct Ownership Interest | Apr 1, 2016 | 100% |
| Operational/Managerial Control | Apr 1, 2016 | 100% | |
| Adp of the SNF | Dec 1, 2025 | ||
| Cindy Hohenstein | Operational/Managerial Control | Apr 30, 2025 | |
| Adp of the SNF | Apr 30, 2025 | ||
| Mark James Rentz | Operational/Managerial Control | Apr 22, 2024 | |
| Adp of the SNF | Apr 22, 2024 | ||
| Cathy Nuthak | Operational/Managerial Control | Sep 18, 2009 | |
| Adp of the SNF | Sep 18, 2009 | ||
| Carol Annette Raw | Corporate Officer | Aug 16, 2005 | |
| Corporate Director | Aug 16, 2005 | ||
| Operational/Managerial Control | Aug 16, 2005 | ||
| Adp of the SNF | Aug 16, 2005 | ||
| Patrick Gary Nelson | Corporate Director | Jan 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Managing Control - Governing Body | Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Michelle Hanneken | Operational/Managerial Control | Jul 20, 2022 | |
| Adp of the SNF | Jul 20, 2022 | ||
| Tami Hell | Operational/Managerial Control | Oct 9, 2025 | |
| Adp of the SNF | Oct 9, 2025 | ||
| Roxanne Hejhal | Operational/Managerial Control | Apr 10, 2023 | |
| Adp of the SNF | Apr 10, 2023 | ||
| Jina Marlow | Operational/Managerial Control | Jun 6, 2022 | |
| Adp of the SNF | Jun 6, 2022 | ||
| Eide Bailly LLP | Operational/Managerial Control | Jan 3, 2023 | |
| Adp of the SNF | Oct 23, 2025 | ||
| William Fairchild | Operational/Managerial Control | Aug 7, 2006 | |
| Adp of the SNF | Aug 7, 2006 | ||
| Todd Patrick Schneider | Corporate Director | Jul 1, 2013 | |
| Operational/Managerial Control | Jul 1, 2013 | ||
| Managing Control - Governing Body | Jul 1, 2013 | ||
| Adp of the SNF | Jul 1, 2013 | ||
| Renee Thompson | Operational/Managerial Control | Oct 10, 2018 | |
| Adp of the SNF | Oct 10, 2018 | ||
| John Henry Luetmer | Corporate Director | Jan 1, 2021 | |
| Operational/Managerial Control | May 14, 1957 | ||
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Laura Jane Rentz | Corporate Director | Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Managing Control - Governing Body | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Ben Ryan | Operational/Managerial Control | Dec 27, 2012 | |
| Adp of the SNF | Dec 27, 2012 | ||
| Rebecca McCleery | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Kelsey Stock | Operational/Managerial Control | Jun 1, 2022 | |
| Adp of the SNF | Jun 1, 2022 |
Owners & managing parties with NPI records 6
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Hibbing, MN
- NPI 1912964628
Adp of the SNF, Operational/Managerial Control
-
dba Rainy Lake Medical Center
- Rural Health Clinic/Center
- International Falls, MN
- NPI 1194237990
Adp of the SNF, Operational/Managerial Control
-
dba Rainy Lake Pharmacy
- Pharmacy
- International Falls, MN
- NPI 1275284374
Adp of the SNF, Operational/Managerial Control
-
dba Rainy Lake Medical Center
- Rural Health Clinic/Center
- Littlefork, MN
- NPI 1508378324
Adp of the SNF, Operational/Managerial Control
-
dba Rainy Lake Medical Center
- Critical Access Hospital
- International Falls, MN
- NPI 1528041183
Adp of the SNF, Operational/Managerial Control
-
- Optometrist
- Morris, MN
- NPI 1346253408
Adp of the SNF, Corporate Director, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 19
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Aitkin, MN
- NPI 1245270750
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
- Skilled Nursing Facility
- Browns Valley, MN
- NPI 1902854730
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
dba Heritage Manor
- Skilled Nursing Facility
- Chisholm, MN
- NPI 1508814575
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
dba Franciscan Health Center
- Skilled Nursing Facility
- Duluth, MN
- NPI 1114975059
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
dba Viewcrest Health Center
- Skilled Nursing Facility
- Duluth, MN
- NPI 1174571996
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
dba Trinity Care Center
- Skilled Nursing Facility
- Farmington, MN
- NPI 1720036585
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
- Skilled Nursing Facility
- Hibbing, MN
- NPI 1689622425
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
dba Rainy Lake Medical Center
- Rural Health Clinic/Center
- International Falls, MN
- NPI 1194237990
International Falls Memorial Hospital Association
-
- Skilled Nursing Facility
- Little Falls, MN
- NPI 1689003410
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
dba West Wind Village
- Skilled Nursing Facility
- Morris, MN
- NPI 1750339438
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
dba Thief River Care Center
- Skilled Nursing Facility
- Thief River Falls, MN
- NPI 1932280120
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
-
- Skilled Nursing Facility
- Renville, MN
- NPI 1811985286
Eide Bailly LLP, St. Francis Health Services of Morris, Inc
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.
-
- Family Nurse Practitioner
- Littlefork, MN
- NPI 1669812459
-
- Family Medicine Physician
- International Falls, MN
- NPI 1902819626
-
- Family Medicine Physician
- International Falls, MN
- NPI 1538740402
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- International Falls, MN
- NPI 1538740402
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1609233980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 NEVADA AVE STE 100",
"city": "MORRIS",
"state": "MN",
"postal_code": "562671874",
"telephone_number": "320-589-2004",
"fax_number": "320-589-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 MAIN ST",
"city": "LITTLEFORK",
"state": "MN",
"postal_code": "566539357",
"telephone_number": "218-278-6634",
"fax_number": "218-278-6637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOOCHICHING HEALTH SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. FRANCIS HEALTH SERVICES OF MORRIS INC",
"enumeration_date": "2016-01-18",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "BACH",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "320-589-4910"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Littlefork Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Littlefork, MN
- Ind School Dist 362
- International Falls Memorial Hospital Association (Rainy Lake Medical Center)
- International Falls Memorial Hospital Association (Rainy Lake Clinic - Littlefork)
- Heather Lynn Juen, PT
- Koochiching Health Services (Jack Pine Chateau)
- Hannah Lydia Larson, MS, CCC-SLP
- Littlefork Municipal Hospital (Littlefork Medical Center)
- Littlefork Municipal Hospital (Littlefork Jackpine Chateau)
- Littlefork Municipal Hospital (Pineview Recovery Center)
- Littlefork Municipal Hospital (Pineview Recovery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.