NPIMap

Organization Active NPI

Villas at Roseville LLC

  • Skilled Nursing Facility
  • Roseville, MN
National Provider Identifier
1760192116
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VILLAS AT ROSEVILLE LLC
Practice address
1000 Lovell Ave W
Roseville, MN 55113-4459
Phone
(651) 484-3378
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Josh Legum
Title
President
Phone
(507) 203-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1000 Lovell Ave W
Roseville, MN 55113-4459

Mailing address

2361 Nostrand Ave Ste 903
Brooklyn, NY 11210-3953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221229000682 MN Part A Provider - Skilled Nursing Facility 6002286499 Practice locations: Roseville, MN

Skilled nursing facility certification: CCN 245326

Legal name
VILLAS AT ROSEVILLE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1986
Last certification
Mar 12, 2025
Beds
63
Ownership / control type
Limited Liability Corporation
Multi-facility organization
monarch healthcare management
Organization structure
LLCProprietary
Incorporated
Sep 12, 2022 in MN
Enrollment address
1000 Lovell Ave W
Roseville, MN 55113-4459
Nursing home name
THE VILLAS AT ROSEVILLE
Affiliated entity
MONARCH HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Villas at RosevilleCCN 245326
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6357.5 residents per day on average
Chain
Monarch Healthcare Management45 facilities in the chain
Penalties (3 years)
2Fines totaling $24,791

Processed by Care Compare on Aug 1, 2026.

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
24D0672607Villas at Roseville, the1000 Lovell Ave W, Roseville, MN 55113Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Spartan Healthcare LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 32%
WBS Holdings LLC Organization, Brooklyn, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 26%
William Stern Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 26%
Corporate OfficerCfo Jan 1, 2023
Marc Halpert Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 32%
Corporate OfficerCoo Jan 1, 2023
Operational/Managerial ControlCeo Jan 1, 2023
Joshua Legum Individual Contracted Managing EmployeePresident Jan 1, 2023
5% Or Greater Indirect Ownership Interest Jan 1, 2023 26%
Yazoma Holdings, LLC Organization, Hollywood, FL LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 26%
Noam Jaffa Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 16%
Corporate DirectorDirector of Procurement Jan 1, 2023
Nij LLC Organization, St Louis Park, MN LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 16%
Monarch Healthcare Operating XII LLC Organization, Mankato, MN LLC, For-profit Operational/Managerial Control Jan 1, 2023 100%

Facilities with the same owner 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 6

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

Affiliated clinicians 1

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": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1760192116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 NOSTRAND AVE STE 903",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LOVELL AVE W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134459",
            "telephone_number": "651-484-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAS AT ROSEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-203-1001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.