North Cities Health Care, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

324795 Issued in MN

Legal business name

NORTH CITIES HEALTH CARE, INC

Practice address

9899 Avocet St NW
Coon Rapids, MN 55433-6413

Phone

(763) 757-2320

Fax

(763) 757-6946

NPI assigned

May 24, 2005

Organization subpart

Yes

Parent organization

NORTH CITIES HEALTH CARE, INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas Dale Pollock, N.H.A.

Title

Administrator

Phone

(763) 757-2320

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Park River Estates Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Skilled nursing facility certification: CCN 245448

Legal name

NORTH CITIES HEALTH CARE, INC

Doing business as

PARK RIVER ESTATES CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1987

Last certification

Mar 13, 2024

Beds

98

Ownership / control type

Individual

Organization structure

CorporationProprietary

Incorporated

Jul 1, 1974 in MN

Enrollment address

9899 Avocet NWST
Coon Rapids, MN 55433-6413

Nursing home name

PARK RIVER HEALTHCARE AND REHABILITATION CENTER LLC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• North Cities Health Care, Inc.

  • Skilled Nursing Facility
  • New Brighton, MN
  • NPI 1528053014

  0749329027

  Same PAC ID

Listed as

Park River Healthcare and Rehabilitation Center LLCCN 245448

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Mar 1, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9879.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

North Cities Health Care Inc2 organizations share this tax ID, including this one

Part of

North Cities Health Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Cities Health Care, Inc.

  • Skilled Nursing Facility
  • New Brighton, MN
  • NPI 1528053014
  NPD tax ID

All disclosed owners & managing parties 3

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• North Cities Health Care, Inc.

  • Skilled Nursing Facility
  • New Brighton, MN
  • NPI 1528053014
  NPPES parent name

Practitioners 2

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

• Scott J Fairbairn, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1174553747
  NPD (past)
• Robert James Helgren, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Minneapolis, MN
  • NPI 1336177971
  NPD (past)

Affiliated clinicians 1

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

• Scott J Fairbairn, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1174553747

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1801899703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9899 AVOCET ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554336413",
            "telephone_number": "763-757-2320",
            "fax_number": "763-757-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9899 AVOCET ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554336413",
            "telephone_number": "763-757-2320",
            "fax_number": "763-757-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CITIES HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH CITIES HEALTH CARE, INC",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-757-2320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "324795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "7100243",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426040600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "9685PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "7122589",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0263",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park River Estates Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeleine Ann Nordness, DPT
• Gabrielle Nordstrom, LMFT
• Nathan R Norquist, MD
• Luther Leameo Norris
• Bonnie Inez Norsted, M.A.
• North Metro Orthotics and Prosthetics, Inc
• North Suburban Chiropractic Clinic P.a.
• North Suburban Counseling Center
• North Suburban Counseling Ctr
• North Suburban Eye Specialists, LLP

• Skilled Nursing Facility in Coon Rapids, MN
• Providers in Coon Rapids, 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 Jul 14, 2008; 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.