Meeker Manor Rehabilitation Center LLC
Organization Active NPI Skilled Nursing Facility · Litchfield, MN
NPI 1750737276 · NPPES record last updated May 13, 2016
Key facts
- NPI
- 1750737276
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- MEEKER MANOR REHABILITATION CENTER LLC
- Practice address
- 600 S Davis Ave
Litchfield, MN 55355-3431 - Phone
- (320) 693-2472
- NPI assigned
- May 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Josh Legum
- Title
- Memebr
- Phone
- (507) 625-8741
Facilities with the same owner 44
Practitioners 3
-
Richard Luboga Byakika, M.D.
-
Clemencia Rasquinha, M.D
Affiliated clinicians 3
-
Pamela L Brett, DO
-
Richard Luboga Byakika, M.D.
-
Anita M Strei, MD
Medicare Care Compare: Nursing home
- Listed as
- Meeker Manor Rehablitation Center, LLC
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1986
- Medicare certification status
- Active
- Certified beds
- 65 · 50.4 residents per day on average
- Chain
- Monarch Healthcare Management
- Penalties (3 years)
- 1 · fines totaling $14,696
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0693840 | Meeker Manor | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Skilled nursing facility certification: CCN 245361
- Legal name
- MEEKER MANOR REHABILITATION CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1986
- Last certification
- Mar 6, 2025
- Beds
- 65
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Monarch Healthcare Management
- Organization structure
- LLC · Proprietary
- Incorporated
- May 10, 2016 in MN
- Enrollment address
- 600 S Davis Ave
Litchfield, MN 55355-3431 - Nursing home name
- MEEKER MANOR REHABLITATION CENTER, LLC
- Affiliated entity
- MONARCH HEALTHCARE MANAGEMENT
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Muencz |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2016 | 12% |
| Spartan Healthcare LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 22.5% |
| William Stern |
5% Or Greater Direct Ownership Interest |
Jul 1, 2016 | 15% |
| Corporate Officer |
Jul 1, 2016 | 15% | |
| Marc Halpert |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2016 | 22.5% |
| Corporate Director |
Jul 1, 2016 | 22.5% | |
| Jeffrey Arem |
5% Or Greater Direct Ownership Interest |
Jul 1, 2016 | 14.25% |
| HML LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 12% |
| Monarch Healthcare Operating IV LLC |
Operational/Managerial Control | Jul 1, 2016 | 100% |
| Joshua Legum |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2016 | 22.5% |
| W-2 Managing Employee |
Jul 1, 2016 | 22.5% | |
| Yazoma Holdings, LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 22.5% |
| Noam Jaffa |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2016 | 13.75% |
| Nij LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 13.75% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160519001941 | MN | Part a Provider - Skilled Nursing Facility | 1254620966 | Practice locations: Litchfield, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
600 S Davis Ave
Litchfield, MN 55355-3431
Mailing address
638 Southbend Ave
Mankato, MN 56001-2168
Other providers in Litchfield, MN
- Kathy Lotzer
- Tracy Madsen
- Craig P McKay
- Medicine Shoppe
- Meeker County Memorial Hospital
- Meeker-McLeod-Sibley Community Health Services
- Rachel Meyer
- Lindsey Lucile Minnick
- Jennifer Elsa Money
- Kimberly Moos
All providers in Litchfield, MN · Skilled Nursing Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.