NPIMap

Organization Active NPI

Community Nursing Inc.

Doing business as The Village Health & Rehabilitation

  • Skilled Nursing Facility
  • Missoula, MT
National Provider Identifier
1811954662
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10068 Issued in MT
Legal business name
COMMUNITY NURSING INC.
Doing business as
The Village Health & Rehabilitation
Practice address
2651 South Ave W
Missoula, MT 59804-6405
Phone
(406) 728-9162
Fax
(406) 543-8128
NPI assigned
Apr 26, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mr. James A. Weichert
Title
Authorized Official
Phone
(952) 361-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Skilled Nursing Facility 314000000X 10068 MT Primary

Addresses

Primary practice location

2651 South Ave W
Missoula, MT 59804-6405

Mailing address

1107 Hazeltine Blvd Ste 200
Chaska, MN 55318-1070
Phone (952) 361-8000

Other identifiers 7

IdentifierTypeStateIssuer
0217685MedicaidMT
0344773MedicaidMT
0344760MedicaidMT
611494MedicaidMT
0310180MedicaidMT
0532519MedicaidMT
4073-2OtherBCBS OF MONTANA

Other names 2

  • The Village Health & Rehabilitation Doing business as
  • The Village Health Care Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000710 MT Part A Provider - Skilled Nursing Facility 5890706584 Practice locations: Missoula, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811954662. Details of each certification follow.

Skilled nursing facility certification: CCN 275043

Legal name
COMMUNITY NURSING, INC
Doing business as
THE VILLAGE HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1975
Last certification
Aug 1, 2024
Beds
193
Ownership / control type
Corporation
Multi-facility organization
The Goodman Group
Organization structure
CorporationProprietary
Incorporated
Dec 30, 1986 in MN
Enrollment address
2651 South Ave W
Missoula, MT 59804-6405
Nursing home name
VILLAGE HEALTH & REHABILITATION
Affiliated entity
THE GOODMAN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Village Health & RehabilitationCCN 275043 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
193147.1 residents per day on average
Chain
The Goodman Group9 facilities in the chain
Penalties (3 years)
2Fines totaling $27,846

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Randall W Benson Individual 5% Or Greater Direct Ownership InterestTrustee of Shareholder Feb 28, 2017 20%
Corporate OfficerTreasurer Jun 26, 2016 33.33%
Clinton V Knacke Individual Corporate OfficerChief Financial Officer Oct 12, 2022 100%
Craig E Edinger Individual Corporate OfficerPresident Dec 19, 2016 33.33%
Thomas Jay Salmen Individual 5% Or Greater Direct Ownership InterestTrustee of Shareholder Feb 28, 2017 20%
Dee Strauss Individual W-2 Managing EmployeeExecutive Director Jul 26, 2018 100%
South Dakota Trust Company, LLC Organization, Sioux Falls, SD LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 28, 2017 20%
John B. Goodman 2006 Irrv Grantor TR Organization, Chaska, MN 5% Or Greater Direct Ownership Interest Feb 28, 2017 100%
Community Nursing, Inc Organization, Chaska, MN Created for acquisition, Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 30, 1986 100%
The Goodman Group LLC Organization, Chaska, MN LLC, For-profit Other Dec 31, 2006
Providence Health & Services Mt Organization, Missoula, MT Corporation, Non-profit Other Nov 1, 2013
Mark L Wilson Individual 5% Or Greater Direct Ownership InterestTrustee of Shareholder Feb 28, 2017 20%
Denise a Olson Individual Corporate OfficerSecretary Sep 16, 2013 33.33%
James a Weichert Individual 5% Or Greater Direct Ownership InterestTrustee of Shareholder Feb 28, 2017 20%
Corporate DirectorSole Director Dec 19, 2016 100%

Owners & managing parties with NPI records 5

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 8

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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1811954662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD STE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181070",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046405",
            "telephone_number": "406-728-9162",
            "fax_number": "406-543-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NURSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "WEICHERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "952-361-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "10068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217685",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344773",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344760",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611494",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310180",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0532519",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MONTANA",
            "identifier": "4073-2",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Village Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Village Health Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.