NPIMap

Organization Active NPI

Villas at the Park LLC

  • Skilled Nursing Facility
  • St Louis Park, MN
National Provider Identifier
1669182135
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VILLAS AT THE PARK LLC
Practice address
4415 W 36 1/2 St
St Louis Park, MN 55416-4854
Phone
(952) 927-9717
NPI assigned
Nov 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4415 W 36 1/2 St
St Louis Park, MN 55416-4854

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 IDStateProvider typePAC IDDetails
O20221229000341 MN Part A Provider - Skilled Nursing Facility 7618347097 Practice locations: St Louis Park, MN

Skilled nursing facility certification: CCN 245083

Legal name
VILLAS AT THE PARK LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1979
Last certification
Oct 24, 2024
Beds
52
Ownership / control type
Corporation
Multi-facility organization
Monarch Healthcare Management
Organization structure
CorporationProprietary
Incorporated
Sep 12, 2022 in MN
Enrollment address
4415 W 36 1/2 St
St Louis Park, MN 55416-4854
Nursing home name
THE VILLAS AT THE PARK
Affiliated entity
MONARCH HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Villas at the ParkCCN 245083
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5248.4 residents per day on average
Chain
Monarch Healthcare Management45 facilities in the chain
Penalties (3 years)
13Fines totaling $144,586

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Spartan Healthcare LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 32%
WBS Holdings LLC Organization, Brooklyn, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 26%
William Stern Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 26%
Corporate OfficerChief Financial Officer Jan 1, 2023 26%
Marc Halpert Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 32%
Corporate OfficerChief Operations Officer Jan 1, 2023 32%
Operational/Managerial ControlCeo Jan 1, 2023 32%
Joshua Legum Individual Contracted Managing EmployeePresident Jan 1, 2023 26%
5% Or Greater Indirect Ownership Interest Jan 1, 2023 26%
Yazoma Holdings, LLC Organization, Hollywood, FL LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 26%
Noam Jaffa Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 16%
Corporate DirectorDirector of Procurement Jan 1, 2023 16%
Nij LLC Organization, St Louis Park, MN LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 16%
Monarch Healthcare Operating XII LLC Organization, Mankato, MN LLC, For-profit 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.

View all 44

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1669182135",
    "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": "4415 W 36 1/2 ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164854",
            "telephone_number": "952-927-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAS AT THE PARK 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.