Organization Active NPI

Harmony Community Healthcare, Inc

Doing business as Gundersen Harmony Care Center

  • Skilled Nursing Facility
  • Harmony, MN
National Provider Identifier
1851437867
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
332994 Issued in MN
Legal business name
HARMONY COMMUNITY HEALTHCARE, INC
Doing business as
Gundersen Harmony Care Center
Practice address
815 Main Ave S
Harmony, MN 55939-6625
Phone
(507) 886-6544
Fax
(507) 886-6584
NPI assigned
Jan 29, 2007
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Mr. Timothy J Samuelson
Title
Administrator
Phone
(507) 886-6544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 332994 MN Primary

Addresses

Primary practice location

815 Main Ave S
Harmony, MN 55939-6625

Mailing address

815 Main Ave S
Harmony, MN 55939-6625
Phone (507) 886-6544

Other identifiers 2

IdentifierTypeStateIssuer
978740200MedicaidMN
2P70HAOtherMNBCBS OF MINNESOTA

Other names 1

  • Gundersen Harmony Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030520000046 MN Part A Provider - Skilled Nursing Facility 7719897248 Practice locations: Harmony, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851437867. Details of each certification follow.

Skilled nursing facility certification: CCN 245528

Legal name
HARMONY COMMUNITY HEALTHCARE INC
Doing business as
GUNDERSEN HARMONY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1988
Last certification
Apr 10, 2025
Beds
42
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Gundersen Health System
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1998 in MN
Enrollment address
815 Main Ave S
Harmony, MN 55939-6625
Nursing home name
GUNDERSEN HARMONY CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gundersen Harmony Care CenterCCN 245528 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4236.1 residents per day on average
Penalties (3 years)
1Fines totaling $12,649

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
24D1019723Harmony Community Healthcare, Inc815 Main Ave S, Harmony, MN 55939Certificate of waiverNov 25, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 40

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

NameRoleSinceShare
Charles P Ness Individual Corporate OfficerAdministrator Jul 31, 2025
Adp of the SNF Aug 5, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Penny Solberg Individual Corporate DirectorBoard Member Jan 1, 2026
Karen L Foster Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Susan Lenz Individual Corporate OfficerDirector of Nursing Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Randi K Berg Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Tracer Rankin Individual Corporate OfficerHR Generalist Jan 1, 2025
Adp of the SNF Jan 1, 2025
Carrie Enright Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Brenda S Moser Individual Corporate OfficerFinance Administrator Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Bellin Gundersen Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 30, 2022 100%
Operational/Managerial Control Nov 30, 2022 100%
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Debra Johnson Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Leanne Sauer Individual Corporate OfficerActivities Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Eau Claire, WI Adp of the SNF May 5, 2025
Kraig Schuster Individual Corporate OfficerVP - Operations Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Christopher J Skaalen Individual Corporate DirectorBoard Member Jan 24, 2018
Managing Control - Governing BodyCommunity Board Member Jan 24, 2018
Amanda Pericak Individual Corporate DirectorBoard Member Apr 1, 2022
Managing Control - Governing BodyBoard Member Apr 1, 2022
Rodney Johnson Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Appleton, WI Medical staffing company, For-profit Adp of the SNF May 5, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Linda Boland Individual Corporate OfficerDietary / Evs Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Sarah Melde Individual Corporate DirectorBoard Member Jan 1, 2024
Managing Control - Governing BodyBoard Member Jan 1, 2024
Organization, Mabel, MN Corporation Adp of the SNF May 5, 2025
Gundersen Lutheran Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Operational/Managerial Control Jan 1, 2013
Vickie M Bakalars Individual Corporate DirectorBoard Member Feb 1, 2017
Managing Control - Governing BodyBoard Member Feb 1, 2017
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Charles L Johnson Individual Corporate DirectorBoard Member Jan 23, 2019
Mark Branum Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 49

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

View all 49

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.

Affiliated clinicians 3

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1851437867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MAIN AVE S",
            "city": "HARMONY",
            "state": "MN",
            "postal_code": "559396625",
            "telephone_number": "507-886-6544",
            "fax_number": "507-886-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MAIN AVE S",
            "city": "HARMONY",
            "state": "MN",
            "postal_code": "559396625",
            "telephone_number": "507-886-6544",
            "fax_number": "507-886-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY COMMUNITY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-886-6544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "332994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "978740200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "2P70HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gundersen Harmony Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harmony, MN

Sources for this page

Verify at the official NPI Registry.