NPIMap

Organization Active NPI

The Green Prairie Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Plainview, MN
National Provider Identifier
1659728186
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE GREEN PRAIRIE REHABILITATION CENTER LLC
Practice address
810 2ND Ave NW
Plainview, MN 55964-1090
Phone
(507) 534-4204
NPI assigned
May 13, 2016
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Josh Legum
Title
Member
Phone
(507) 625-8741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

810 2ND Ave NW
Plainview, MN 55964-1090

Mailing address

638 Southbend Ave
Mankato, MN 56001-2168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160518001911 MN Part A Provider - Skilled Nursing Facility 0941599773 Practice locations: Plainview, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659728186. Details of each certification follow.

Skilled nursing facility certification: CCN 245345

Legal name
THE GREEN PRAIRIE REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1986
Last certification
Oct 31, 2024
Beds
42
Ownership / control type
Corporation
Multi-facility organization
Monarch Healthcare Management
Organization structure
LLCProprietary
Incorporated
Apr 22, 2016 in MN
Enrollment address
800 2ND Ave NW
Plainview, MN 55964-1041
Nursing home name
THE GREEN PRAIRIE REHABILITATION CENTER
Affiliated entity
MONARCH HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Green Prairie Rehabilitation CenterCCN 245345 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4238.6 residents per day on average
Chain
Monarch Healthcare Management45 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0404565The Green Prairie Rehabilitation Center800 Second Avenue Northwest, Plainview, MN 55964Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory

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
Jeffrey Muencz Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2016 12%
Spartan Healthcare LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 22.5%
William Stern Individual 5% Or Greater Direct Ownership Interest Jul 1, 2016 15%
Corporate OfficerCfo Jul 1, 2016 15%
Marc Halpert Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2016 22.5%
Corporate DirectorChief Operations Officer Jul 1, 2016 22.5%
Jeffrey Arem Individual 5% Or Greater Direct Ownership Interest Jul 1, 2016 14.25%
HML LLC Organization, Beachwood, OH For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 12%
Monarch Healthcare Operating IV LLC Organization, Mankato, MN LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2016 100%
Joshua Legum Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2016 22.5%
W-2 Managing EmployeeChief Executive Officer Jul 1, 2016 22.5%
Yazoma Holdings, LLC Organization, Skokie, IL LLC 5% Or Greater Direct Ownership Interest Jul 1, 2016 22.5%
Noam Jaffa Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2016 13.75%
Nij LLC Organization, St Louis Park, MN LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 13.75%

Facilities with the same owner 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 2

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": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1659728186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SOUTHBEND AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 2ND AVE NW",
            "city": "PLAINVIEW",
            "state": "MN",
            "postal_code": "559641090",
            "telephone_number": "507-534-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREEN PRAIRIE REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "507-625-8741"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, MN

Sources for this page

Verify at the official NPI Registry.