Active NPI
Tuff Memorial Home
- Nursing Facility/Intermediate Care Facility
- Hills, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 328220
- Legal business name
- TUFF MEMORIAL HOME
- Practice address
- 505 E 4TH St
Hills, MN 56138-1017 - Phone
- (507) 962-3275
- Fax
- (507) 962-3277
- NPI assigned
- Jul 28, 2005
- Last updated
- Jul 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie L Kendall, LNHA
- Title
- Administrator
- Phone
- (507) 962-3275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 328220 | MN | Primary |
Addresses
Primary practice location
505 E 4TH St
Hills, MN 56138-1017
Mailing address
505 E 4TH St
Hills, MN 56138-1017
Phone (507) 962-3275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120426000282 | MN | Part A Provider - Skilled Nursing Facility | 6608038278 | Practice locations: Hills, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1790785194. Details of each certification follow.
Skilled nursing facility certification: CCN 245548
- Legal name
- TUFF MEMORIAL HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1991
- Last certification
- Jul 30, 2024
- Beds
- 48
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 14, 1969 in MN
- Enrollment address
- 505 E 4TH St
Hills, MN 56138-1017 - Nursing home name
- TUFF MEMORIAL HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tuff Memorial Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 1, 1991
- Medicare certification status
- Active
- Certified beds
- 48
- Penalties (3 years)
- 12
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0665545 | Tuff Memorial Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Tuff Memorial Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Hills, MN
- NPI 1992890008
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kathryn Lucille Kendall | Operational/Managerial Control | May 27, 2024 | |
| Adp of the SNF | May 27, 2024 | ||
| Bethlehem Lutheran Church | Direct Ownership Interest | Apr 1, 2023 | |
| Tracy L Gayer | Corporate Officer | Feb 1, 2019 | |
| Palisade Lutheran | Direct Ownership Interest | Apr 1, 2023 | |
| Pope & Conner Consulting Inc | Adp of the SNF | Jan 1, 2021 | |
| Catherine Westphal | Corporate Officer | Feb 1, 2019 | |
| Larry S Green | Corporate Officer | Feb 1, 2019 | |
| Jeff F Petterson | Corporate Officer | Jan 1, 2018 | |
| First Lutheran | Direct Ownership Interest | Apr 1, 2023 | |
| Bonnie Jean Leenderts | Corporate Officer | Jan 1, 2018 | |
| Wipfli LLP | Adp of the SNF | Sep 1, 2023 | |
| Bethlehem Lutheran Church | Direct Ownership Interest | Jul 5, 2021 | |
| Jennifer Thone | Operational/Managerial Control | May 27, 2021 | |
| Adp of the SNF | Feb 1, 2019 | ||
| Grace Lutheran Church | Direct Ownership Interest | Apr 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Luverne, MN
- NPI 1386616704
Adp of the SNF, Operational/Managerial Control
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Hills, MN
- NPI 1992890008
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Luverne, MN
- NPI 1386616704
Affiliated clinicians 4
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": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753056000000",
"number": "1790785194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E 4TH ST",
"city": "HILLS",
"state": "MN",
"postal_code": "561381017",
"telephone_number": "507-962-3275",
"fax_number": "507-962-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E 4TH ST",
"city": "HILLS",
"state": "MN",
"postal_code": "561381017",
"telephone_number": "507-962-3275",
"fax_number": "507-962-3277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUFF MEMORIAL HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A",
"authorized_official_last_name": "KENDALL",
"authorized_official_first_name": "KATIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "507-962-3275",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MN",
"license": "328220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.