NPIMap

Organization Active NPI

Sterling Park Healthcare Center Inc

  • Skilled Nursing Facility
  • Waite Park, MN
National Provider Identifier
1861480345
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
327790 Issued in MN
Legal business name
STERLING PARK HEALTHCARE CENTER INC
Practice address
142 1St St N
Waite Park, MN 56387-1273
Phone
(320) 252-9595
NPI assigned
Oct 10, 2005
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Howie Groff
Title
President
Phone
(952) 888-2923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 327790 MN Primary

Addresses

Primary practice location

142 1St St N
Waite Park, MN 56387-1273

Mailing address

142 1St St N
Waite Park, MN 56387-1273

Other identifiers 5

IdentifierTypeStateIssuer
7122702OtherMNMEDICA
9F08STOtherMNBLUE CROSS BLUE SHIELD
502490100MedicaidMN
73694OtherMNHEALTHPARTNERS
NH0479OtherMNUCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021011000017 MN Part A Provider - Skilled Nursing Facility 5698682284 Practice locations: Waite Park, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861480345. Details of each certification follow.

Skilled nursing facility certification: CCN 245375

Legal name
STERLING PARK HEALTHCARE CENTER INC
Doing business as
STERLING PARK SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1986
Last certification
May 2, 2024
Beds
40
Ownership / control type
Partnership
Multi-facility organization
Accura Healthcare
Organization structure
CorporationProprietary
Incorporated
Mar 8, 2000 in MN
Enrollment address
142 1St St N
Waite Park, MN 56387-1273
Nursing home name
STERLING PARK HEALTH CARE CENTER
Affiliated entity
ACCURA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sterling Park Health Care CenterCCN 245375 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Dec 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4035.9 residents per day on average
Chain
Accura Healthcare41 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

142 1st St N
Waite Park, MN 56387
Phone (320) 252-9595

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
American Healthcare Management Services LLC Organization, West Des Moines, IA LLC, Management services company Operational/Managerial Control Oct 1, 2019 100%
Ted a Leneave Individual Corporate OfficerCeo Oct 1, 2019
Operational/Managerial ControlCeo Jul 25, 2022
Carolyn L Hervin Individual Operational/Managerial Control Sep 1, 2016
Adp of the SNF Sep 1, 2016
Samual Kaplan Individual 5% Or Greater Direct Ownership Interest Mar 4, 2020 50%
Corporate Director Mar 4, 2020 50%
Douglas Watkins Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Bruce Parker Individual 5% Or Greater Direct Ownership Interest Mar 4, 2020 50%
Corporate Director Mar 4, 2020 50%

Facilities with the same owner 30

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

View all 30

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 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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1861480345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 1ST ST N",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 1ST ST N",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871273",
            "telephone_number": "320-252-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING PARK HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "327790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "7122702",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9F08ST",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502490100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "73694",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0479",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

Verify at the official NPI Registry.