NPIMap

Guardian Angels Health and Rehabilitation Center

Organization Active NPI Skilled Nursing Facility · Hibbing, MN

NPI 1689622425 · NPPES record last updated Feb 5, 2025

Key facts

NPI
1689622425
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
328228 (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
Organization subpart
Yes
Parent organization (as reported)
ST. FRANCIS HEALTH SERVICES OF MORRIS, INC

Authorized official

Name
Curtis Bach
Title
Cfo
Phone
(320) 589-4910

Owners & managing parties with NPI records 3

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

  • Jeffrey Allan Copeman, M.D. Family Medicine Physician · Hibbing, MN · NPI 1912964628
    CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Michael Lair, OD Optometrist · Morris, MN · NPI 1346253408
    CMS ownership ADP OF THE SNF · CORPORATE DIRECTOR · MANAGING CONTROL - GOVERNING BODY · OPERATIONAL/MANAGERIAL CONTROL
  • Big Stone Therapies, Inc Physical Therapy Clinic/Center · Big Stone City, SD · NPI 1124044656
    CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Facilities with the same owner 18

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

Practitioners 3

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0403758Guardian Angels Health & Rehab Center
1500 E 3Rd Ave, Hibbing, MN 55746		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Skilled nursing facility certification: CCN 245239A

Legal name
GUARDIAN ANGELS HEALTH AND REHABILITATION CENTER
Organization structure
Corporation · Non-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

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 Director
Governance Board Chair		 Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Managing Control - Governing Body
Governance 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 Officer
VP of Senior Services/SNF President		 May 8, 2022
Corporate Director
VP 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 Director
Governance Board Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Governance Board Director		 Jan 1, 2025
Adp of the SNF Jan 1, 2025
Timothy Chris Gramm
Individual 		Corporate Director
Governance Board Director		 Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Managing Control - Governing Body
Governance 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 Director
Governance Board Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Governance 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 Director
Governance Board Director		 Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Managing Control - Governing Body
Governance 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 Director
Governance Board Director		 Jan 1, 2016
Operational/Managerial Control Jan 1, 2016
Managing Control - Governing Body
Governance Board Director		 Jan 1, 2016
Adp of the SNF Jan 1, 2016
Paul James Rentz
Individual 		Corporate Director
Governance Board Director		 Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Managing Control - Governing Body
Governance 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 Officer
VP of Finance/Ceo		 Aug 28, 2024
Corporate Director
VP 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 Director
Governance Board Sec/Treas		 Jul 25, 2017
Operational/Managerial Control Jul 25, 2017
Managing Control - Governing Body
Governance 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 Officer
Chief Executive Officer		 Aug 16, 2005
Corporate Director
Chief Executive Officer		 Aug 16, 2005
Operational/Managerial Control Aug 16, 2005
Adp of the SNF Jun 9, 2008
Patrick Gary Nelson
Individual 		Corporate Director
Governance Board Vice Chair		 Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Managing Control - Governing Body
Governance 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 Director
Governance Board Director		 Jul 1, 2013
Operational/Managerial Control Jul 1, 2013
Managing Control - Governing Body
Governance 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 Director
Governance Board Director		 Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Managing Control - Governing Body
Governance Board Director		 Jan 1, 2021
Adp of the SNF Jan 1, 2021
Laura Jane Rentz
Individual 		Corporate Director
Governance Board Director		 Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Managing Control - Governing Body
Governance 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

Medicare enrollment records

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

National Provider Directory

Part of
St Francis Health Services of Morris Inc

Locations

1500 3rd Ave E
Hibbing, MN 55746
Phone (218) 231-8139

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328228 MN Yes

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 identifiers

IdentifierTypeStateIssuer
105994OtherHEALTH PARTNERS
7122669OtherMEDICA
NH0160OtherUCARE
7A99VIOtherBCBS
863278200MedicaidMN

Other names

  • Leisure Hills Health Center Former legal business name

Other providers in Hibbing, MN

All providers in Hibbing, MN · Skilled Nursing Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.