Organization Active NPI

Guardian Angels Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Hibbing, MN
National Provider Identifier
1689622425
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328228 Issued in MN
Legal business name
GUARDIAN ANGELS HEALTH AND REHABILITATION CENTER
Practice address
1500 3Rd Ave E
Hibbing, MN 55746-1462
Phone
(218) 263-7583
Fax
(218) 263-3422
NPI assigned
May 4, 2006
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. FRANCIS HEALTH SERVICES OF MORRIS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328228 MN Primary

Addresses

Primary practice location

1500 3Rd Ave E
Hibbing, MN 55746-1462

Mailing address

801 Nevada Ave
Morris, MN 56267-1865
Phone (320) 589-2004

Other names 1

  • Leisure Hills Health Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000511 MN Part A Provider - Skilled Nursing Facility 1951474071 Practice locations: Hibbing, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689622425. Details of each certification follow.

Skilled nursing facility certification: CCN 245239A

Legal name
GUARDIAN ANGELS HEALTH AND REHABILITATION CENTER
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1995 in MN
Enrollment address
1500 E 3Rd Ave
Hibbing, MN 55746-1462
Nursing home name
GUARDIAN ANGELS HEALTH & REHAB CENTER
Affiliated entity
ST. FRANCIS HEALTH SERVICES

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
24D0403758Guardian Angels Health & Rehab Center1500 E 3Rd Ave, Hibbing, MN 55746Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
St Francis Health Services of Morris Inc

Ownership & related parties

All disclosed owners & managing parties 42

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew Just Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Reed Hofmann Individual Operational/Managerial Control May 8, 2023
Adp of the SNF May 8, 2023
Jeffrey Copeman Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jennifer Ann Goodnough Individual Corporate DirectorGovernance Board Chair Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Managing Control - Governing BodyGovernance Board Chair Jan 1, 2021
Adp of the SNF Jan 1, 2021
Megan Caspers Individual Operational/Managerial Control Dec 29, 2014
Adp of the SNF Dec 29, 2014
Cami Cay Peterson-Devries Individual Corporate OfficerVP of Senior Services/SNF President May 8, 2022
Corporate DirectorVP of Senior Services/SNF Presid May 8, 2022
Operational/Managerial Control May 8, 2022
Adp of the SNF May 8, 2022
Big Stone Therapies, Inc Organization, Big Stone City, SD Corporation, Medical provider/supplier Operational/Managerial Control Feb 3, 2015
Adp of the SNF Oct 23, 2025
Steven Edward Lienemann Individual Corporate DirectorGovernance Board Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyGovernance Board Director Jan 1, 2025
Adp of the SNF Jan 1, 2025
Timothy Chris Gramm Individual Corporate DirectorGovernance Board Director Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodyGovernance Board Director Jan 1, 2023
Adp of the SNF Jan 1, 2023
Amanda Burrows Individual Operational/Managerial Control Jan 2, 2024
Adp of the SNF Jan 2, 2024
Michael Evalthen Lair Individual Corporate DirectorGovernance Board Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyGovernance Board Director Jan 1, 2025
Adp of the SNF Jan 1, 2025
Joyce Hobbs Individual Operational/Managerial Control Jul 6, 2022
Adp of the SNF Jul 6, 2022
April Tomoson Individual Operational/Managerial Control Jul 12, 2021
Adp of the SNF Jul 12, 2021
Douglas William Ehlers Individual Corporate DirectorGovernance Board Director Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodyGovernance Board Director Jan 1, 2023
Adp of the SNF Jan 1, 2023
Amy Walker Individual Operational/Managerial Control May 13, 2024
Adp of the SNF May 13, 2024
Daniel Lee Dripps Individual Corporate DirectorGovernance Board Director Jan 1, 2016
Operational/Managerial Control Jan 1, 2016
Managing Control - Governing BodyGovernance Board Director Jan 1, 2016
Adp of the SNF Jan 1, 2016
Paul James Rentz Individual Corporate DirectorGovernance Board Director Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Managing Control - Governing BodyGovernance Board Director Jan 1, 2021
Adp of the SNF Jan 1, 2021
Laurelle Moore Individual Operational/Managerial Control Aug 19, 2024
Adp of the SNF Aug 19, 2024
Curtis Allan Bach Individual Corporate OfficerVP of Finance/Ceo Aug 28, 2024
Corporate DirectorVP of Finance/Ceo Aug 28, 2024
Operational/Managerial Control Aug 28, 2024
Adp of the SNF Aug 28, 2024
Geoffrey Ryan Individual Operational/Managerial Control Jan 12, 1998
Adp of the SNF Jan 12, 1998
Patricia Black Individual Operational/Managerial Control Jan 9, 2024
Adp of the SNF Jan 9, 2024
Lorraine Ann Wiese Individual Corporate DirectorGovernance Board Sec/Treas Jul 25, 2017
Operational/Managerial Control Jul 25, 2017
Managing Control - Governing BodyGovernance Board Sec/Treas Jul 25, 2017
Adp of the SNF Jul 25, 2017
St. Francis Health Services of Morris, Inc Organization, Morris, MN Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jun 9, 2008 100%
Operational/Managerial Control Jun 9, 2008
Adp of the SNF Dec 1, 2025
Cheyenne Lease Individual Operational/Managerial Control Oct 7, 2024
Adp of the SNF Oct 7, 2024
Carissa Brownlee Individual Operational/Managerial Control Nov 11, 2008
Adp of the SNF Nov 11, 2008
Mark James Rentz Individual Operational/Managerial Control Apr 22, 2024
Adp of the SNF Apr 22, 2024
Shane Roche Individual Operational/Managerial Control May 8, 2017
Adp of the SNF May 8, 2017
Carol Annette Raw Individual Corporate OfficerChief Executive Officer Aug 16, 2005
Corporate DirectorChief Executive Officer Aug 16, 2005
Operational/Managerial Control Aug 16, 2005
Adp of the SNF Jun 9, 2008
Patrick Gary Nelson Individual Corporate DirectorGovernance Board Vice Chair Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Managing Control - Governing BodyGovernance Board Vice Chair Jan 1, 2020
Adp of the SNF Jan 1, 2020
Michelle Hanneken Individual Operational/Managerial Control Jul 20, 2022
Adp of the SNF Jul 20, 2022
Roxanne Hejhal Individual Operational/Managerial Control Apr 10, 2023
Adp of the SNF Apr 10, 2023
Jina Marlow Individual Operational/Managerial Control Jun 6, 2022
Adp of the SNF Jun 6, 2022
Eide Bailly LLP Organization, Fargo, ND LLC Operational/Managerial Control Jan 3, 2023
Adp of the SNF Oct 23, 2025
Todd Patrick Schneider Individual Corporate DirectorGovernance Board Director Jul 1, 2013
Operational/Managerial Control Jul 1, 2013
Managing Control - Governing BodyGovernance Board Director Jul 1, 2013
Adp of the SNF Jul 1, 2013
Ricardo Contreras Individual Operational/Managerial Control Nov 11, 2024
Adp of the SNF Nov 11, 2024
Renee Thompson Individual Operational/Managerial Control Oct 10, 2018
Adp of the SNF Oct 10, 2018
Shawn Savolainen Individual Adp of the SNF Sep 29, 2025
John Henry Luetmer Individual Corporate DirectorGovernance Board Director Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Managing Control - Governing BodyGovernance Board Director Jan 1, 2021
Adp of the SNF Jan 1, 2021
Laura Jane Rentz Individual Corporate DirectorGovernance Board Director Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Managing Control - Governing BodyGovernance Board Director Jan 1, 2024
Adp of the SNF Jan 1, 2024
Ben Ryan Individual Operational/Managerial Control Dec 27, 2012
Adp of the SNF Dec 27, 2012
Kelly Squires Individual Adp of the SNF Sep 21, 2015
Kelsey Stock Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1689622425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NEVADA AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671865",
            "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": "1500 3RD AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461462",
            "telephone_number": "218-263-7583",
            "fax_number": "218-263-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS HEALTH AND REHABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. FRANCIS HEALTH SERVICES OF MORRIS, INC",
        "enumeration_date": "2006-05-04",
        "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": "MN",
            "license": "328228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leisure Hills Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.