Active NPI
Pioneer Home Incorporated
- Skilled Nursing Facility
- Fergus Falls, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PIONEER HOME INCORPORATED
- Practice address
- 1131 S Mabelle Ave
Fergus Falls, MN 56537-3723 - Phone
- (218) 998-1500
- Fax
- (218) 998-1580
- NPI assigned
- Feb 24, 2006
- 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
- Cindy Kacer
- Title
- A/R Specialist
- Phone
- (218) 998-1540
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 8090221ADC | MN | |
| Assisted Living Facility | 310400000X | FLB001784712556 | MN | |
| Assisted Living Facility | 310400000X | 1064141-1-ADC | MN | |
| Skilled Nursing Facility | 314000000X | 328217 | MN | |
| Skilled Nursing Facility | 314000000X | Primary | ||
| Emergency Response System Companies | 333300000X |
Addresses
Primary practice location
1131 S Mabelle Ave
Fergus Falls, MN 56537-3723
Mailing address
1006 S Sheridan St
Fergus Falls, MN 56537-3518
Phone (218) 739-7700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100383 | Other | MN | MEDICA PROVIDER NUMBER |
| 707342900 | Medicaid | MN | |
| 9668PI | Other | MN | BCBS PROVIDER NUMBER |
Other names 1
- Pioneer Retirement Community
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 218.998.1580 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100624000462 | MN | Part A Provider - Skilled Nursing Facility | 5496886111 | Practice locations: Fergus Falls, MN |
Skilled nursing facility certification: CCN 245463
- Legal name
- PIONEER HOME INCORPORATED
- Doing business as
- PIONEERCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 11, 1987
- Last certification
- Jul 24, 2024
- Beds
- 105
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Oct 7, 1928 in MN
- Enrollment address
- 1131 S Mabelle Ave
Fergus Falls, MN 56537-3723 - Nursing home name
- PIONEER CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pioneer Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 11, 1987
- Medicare certification status
- Active
- Certified beds
- 105
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 |
|---|---|---|---|
| 24D0671739 | Pioneer Home Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 27
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 |
|---|---|---|---|
| Nathan D Johnson | Corporate Director | Nov 3, 2009 | 100% |
| Operational/Managerial Control | Nov 3, 2009 | 100% | |
| Managing Control - Governing Body | Nov 3, 2009 | ||
| Adp of the SNF | Nov 3, 2009 | ||
| Elizabeth Pederson | Operational/Managerial Control | Sep 17, 2021 | |
| Linda Lee | Operational/Managerial Control | Nov 22, 1982 | |
| Adp of the SNF | Nov 22, 1982 | ||
| Adp of the SNF | Jan 19, 2026 | ||
| Sara Watkins | Operational/Managerial Control | Nov 2, 2009 | |
| Adp of the SNF | Nov 2, 2009 | ||
| Karen Mellum | Corporate Officer | Apr 1, 2025 | |
| Managing Control - Governing Body | Apr 1, 2025 | ||
| Adp of the SNF | Jan 19, 2026 | ||
| Joe Ellig | Corporate Officer | Apr 1, 2020 | |
| Managing Control - Governing Body | Apr 1, 2020 | ||
| Kari Johnson | Corporate Officer | Apr 1, 2025 | |
| Managing Control - Governing Body | Apr 1, 2025 | ||
| Janet Freeman | Corporate Officer | Apr 1, 2019 | |
| Managing Control - Governing Body | Apr 1, 2019 | ||
| Adp of the SNF | Jan 19, 2026 | ||
| Tyler a Lacey | Operational/Managerial Control | Nov 1, 2024 | |
| Adp of the SNF | Nov 1, 2024 | ||
| Adp of the SNF | Jan 20, 2026 | ||
| Lori Nelson | Corporate Officer | Feb 7, 2023 | |
| Adp of the SNF | Feb 7, 2023 | ||
| April Hocum | Operational/Managerial Control | Dec 1, 2025 | |
| Katie Hunter | Operational/Managerial Control | Oct 24, 2012 | |
| Jeff Ackerson | Corporate Director | Apr 1, 2018 | |
| Managing Control - Governing Body | Apr 1, 2018 | ||
| Aegis Therapies, Inc. | Adp of the SNF | Jun 1, 2021 | |
| Brandi Sillerud | Corporate Officer | Apr 1, 2018 | |
| Managing Control - Governing Body | Apr 1, 2018 | ||
| Julia Nowacki | Operational/Managerial Control | Apr 8, 2024 | |
| Adp of the SNF | Apr 8, 2024 | ||
| Lowell Brenna | Corporate Officer | Apr 1, 2021 | |
| Managing Control - Governing Body | Apr 1, 2021 | ||
| Dean Monke | Corporate Officer | Apr 1, 2020 | |
| Managing Control - Governing Body | Apr 1, 2020 | ||
| Holly Schmidt | Operational/Managerial Control | Jul 2, 2018 | |
| Catherine Walz | Operational/Managerial Control | Feb 6, 2023 | |
| Brad Bushinger | Operational/Managerial Control | Jan 2, 1996 | |
| John Sethre | Corporate Officer | Apr 2, 2020 | |
| Managing Control - Governing Body | Apr 2, 2020 | ||
| Suzanne Demuth | Corporate Officer | Apr 1, 2020 | |
| Managing Control - Governing Body | Apr 1, 2020 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Fergus Falls, MN
- NPI 1255866877
Adp of the SNF, Operational/Managerial Control
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Maysville, KY
- NPI 1912370644
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fergus Falls, MN
- NPI 1255866877
-
- Family Medicine Physician
- Fergus Falls, MN
- NPI 1972570935
-
- Internal Medicine Physician
- Fergus Falls, MN
- NPI 1801995501
-
- Family Medicine Physician
- Wahpeton, ND
- NPI 1841264892
Affiliated clinicians 9
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": "1140739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594944000000",
"number": "1669448254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 S SHERIDAN ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565373518",
"telephone_number": "218-739-7700",
"fax_number": "218-739-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 S MABELLE AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565373723",
"telephone_number": "218-998-1500",
"fax_number": "218-998-1580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER HOME INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-24",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A",
"authorized_official_last_name": "KACER",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "A/R SPECIALIST",
"authorized_official_telephone_number": "218-998-1540"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "8090221ADC",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "FLB001784712556",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "1064141-1-ADC",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": "328217",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PROVIDER NUMBER",
"identifier": "7100383",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "707342900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "9668PI",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "218.998.1580",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "1131 S Mabelle Ave",
"city": "Fergus Falls",
"state": "MN",
"country_code": "US",
"postal_code": "565373723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Pioneer Retirement Community",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pioneer Retirement Community",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 17, 2020; 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.