Saint Therese of Woodbury, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAINT THERESE OF WOODBURY, LLC

Practice address

7555 Bailey Road
Woodbury, MN 55129

Phone

(651) 209-9100

Fax

(952) 224-0128

NPI assigned

Oct 12, 2015

Last updated

Jan 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cal M Shelangoski

Title

Cfo

Phone

(952) 283-2204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699146035. Details of each certification follow.

• CCN 245632 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245632

Legal name

SAINT THERESE OF WOODBURY, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 8, 2016

Last certification

Mar 20, 2025

Beds

56

Ownership / control type

Nonprofit Corporation

Multi-facility organization

ST THERESE MANAGEMENT SERVICES

Organization structure

LLCNon-profit

Incorporated

Aug 2, 2013 in MN

Enrollment address

7555 Bailey Rd
Woodbury, MN 55129-9610

Nursing home name

ST THERESE OF WOODBURY LLC

Affiliated entity

SAINT THERESE SENIOR COMMUNITIES

Listed as

St Therese of Woodbury LLCCCN 245632 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 8, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5654.3 residents per day on average

Chain

Saint Therese Senior Communities4 facilities in the chain

Penalties (3 years)

2Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 1

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

• Mona Parmar, M.D

  • Family Medicine Physician
  • Woodbury, MN
  • NPI 1720271356

  Adp of the SNF, Corporate Director

  CMS ownership

Facilities with the same owner 3

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

• Saint Therese of Oxbow Lake, LLC

  • Skilled Nursing Facility
  • Brooklyn Park, MN
  • NPI 1619236767

  Saint Therese, Saint Therese Communities, Saint Therese Management Services, LLC

  CMS ownership
• Ihm Senior Living Community, Inc.

  • Skilled Nursing Facility
  • Monroe, MI
  • NPI 1699926022

  Saint Therese, Saint Therese Communities, Saint Therese Management Services, LLC

  CMS ownership
• Saint Therese of Avon LLC

  dba St. Mary of the Woods

  • Skilled Nursing Facility
  • Avon, OH
  • NPI 1164245361

  Saint Therese, Saint Therese Communities, Saint Therese Management Services, LLC

  CMS ownership

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.

• Stephanie Kim, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1457546509
  NPD (past)
• Mona Parmar, M.D

  • Family Medicine Physician
  • Woodbury, MN
  • NPI 1720271356
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Margelusa Mihaela Alexa, M.D.

  • Internal Medicine Physician
  • Woodbury, MN
  • NPI 1942591227

  Nursing home

  Care Compare affiliation
• Lawrence H. Lee, M.D.

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1053384784

  Nursing home

  Care Compare affiliation
• Gemma L Storvick, GNP

  • Nurse Practitioner
  • Minneapolis, MN
  • NPI 1811127210

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1699146035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 BAILEY ROAD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55129",
            "telephone_number": "651-209-9100",
            "fax_number": "952-224-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 BAILEY ROAD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55129",
            "telephone_number": "651-209-9100",
            "fax_number": "952-224-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT THERESE OF WOODBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2023-01-16",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "SHELANGOSKI",
        "authorized_official_first_name": "CAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "952-283-2204"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.

Verify at the official NPI Registry.