Warroad Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WARROAD CARE CENTER, INC.

Practice address

1401 Lake St NW
Warroad, MN 56763-2026

Phone

(218) 386-1235

Fax

(218) 386-3548

NPI assigned

Jul 26, 2005

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Bertilrud

Title

Executive Director

Phone

(218) 386-1235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811997489. Details of each certification follow.

• CCN 245329 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245329

Legal name

WARROAD CARE CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1986

Last certification

Nov 6, 2024

Beds

49

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 1, 1979 in MN

Enrollment address

1401 Lake St NW
Warroad, MN 56763-2026

Nursing home name

WARROAD CARE CENTER

Listed as

Warroad Care CenterCCN 245329 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Aug 1, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4946.3 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

11Fines totaling $280,774

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

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.

• Deborah J Erickson, MD

  • Family Medicine Physician
  • Warroad, MN
  • NPI 1104917111
  NPD (past)
• Bryon D Vandewege, MD

  • Family Medicine Physician
  • Roseau, MN
  • NPI 1720174089
  NPD (past)

Affiliated clinicians 4

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

• Shivali Devgon, MD

  • Internal Medicine Physician
  • Roseau, MN
  • NPI 1154632503

  Nursing home

  Care Compare affiliation
• Prasad Munusamy, M.D.

  • Family Medicine Physician
  • Roseau, MN
  • NPI 1235712043

  Nursing home

  Care Compare affiliation
• Rachel Michele Pearce, DNP FNP-C

  • Family Nurse Practitioner
  • Warroad, MN
  • NPI 1629428594

  Nursing home

  Care Compare affiliation
• Bryon D Vandewege, MD

  • Family Medicine Physician
  • Roseau, MN
  • NPI 1720174089

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1811997489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LAKE ST NW",
            "city": "WARROAD",
            "state": "MN",
            "postal_code": "567632026",
            "telephone_number": "218-386-1235",
            "fax_number": "218-386-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LAKE ST NW",
            "city": "WARROAD",
            "state": "MN",
            "postal_code": "567632026",
            "telephone_number": "218-386-1235",
            "fax_number": "218-386-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARROAD CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "BERTILRUD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-386-1235"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Thompson, PHARM D
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• Up North Physical Therapy (Warroad Physical Therapy)
• Up North Physical Therapy, LLC (Warroad Physical Therapy)
• David Alan Verworn, DC
• Warroad Chiropractic Clinic, P.a.
• Warroad Family Dentistry, LTD (Lake Family Dental)
• Warroad Heritage Inc (Warroad Heritage Pharmacy)
• Warroad School District

• Skilled Nursing Facility in Warroad, MN
• Providers in Warroad, 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 Feb 20, 2023; 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.