Guardian Angels Health Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00611 Issued in MN

Legal business name

GUARDIAN ANGELS HEALTH SERVICES, INC.

Doing business as

Guardian Angels Care Center

Practice address

400 Evans Avenue
Elk River, MN 55330-2604

Phone

(763) 241-4400

Fax

(763) 241-4444

NPI assigned

Jun 30, 2005

Last updated

Aug 14, 2012By 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

Mr. Daniel Charles Dixon

Title

Ceo

Phone

(763) 241-4439

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Guardian Angels Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861499204. Details of each certification follow.

• CCN 245012 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245012

Legal name

GUARDIAN ANGELS HEALTH SERVICES, INC.

Doing business as

GUARDIAN ANGELS CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Jan 24, 2025

Beds

120

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Guardian Angels Senior Services

Organization structure

CorporationNon-profit

Incorporated

Dec 13, 1962 in MN

Enrollment address

400 Evans Ave
Elk River, MN 55330-2604

Nursing home name

GUARDIAN ANGELS CARE CENTER

Listed as

Guardian Angels Care CenterCCN 245012 · 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

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120101.1 residents per day on average

Penalties (3 years)

5Fines totaling $98,353

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

Tax ID family

Guardian Angels Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Guardian Angels Health Services, Inc.

  dba Angels On Main

  • Adult Day Care Clinic/Center
  • Otsego, MN
  • NPI 1730730508
  NPD tax ID

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 1

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

• Robert G Sonntag, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Minneapolis, MN
  • NPI 1699741397

  Contracted Managing Employee

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Guardian Angels Health Services, Inc.

  dba Angels On Main

  • Adult Day Care Clinic/Center
  • Otsego, MN
  • NPI 1730730508
  NPPES parent name

Practitioners 4

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.

• Cynthia A Carlson, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1427035401
  NPD (past)
• Tori Fae Christiaansen, MD

  • Family Medicine Physician
  • Elk River, MN
  • NPI 1831138205
  NPD (past)
• Ibrahim A Mujir, M.D.

  • Family Medicine Physician
  • Brooklyn Park, MN
  • NPI 1649367210
  NPD (past)
• Kurt Edward Walstrom, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1487853123
  NPD (past)

Affiliated clinicians 4

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

• Cynthia A Carlson, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1427035401

  Nursing home

  Care Compare affiliation
• Tori Fae Christiaansen, MD

  • Family Medicine Physician
  • Elk River, MN
  • NPI 1831138205

  Nursing home

  Care Compare affiliation
• Ibrahim A Mujir, M.D.

  • Family Medicine Physician
  • Brooklyn Park, MN
  • NPI 1649367210

  Nursing home

  Care Compare affiliation
• Kurt Edward Walstrom, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1487853123

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1861499204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EVANS AVENUE",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302604",
            "telephone_number": "763-241-4400",
            "fax_number": "763-241-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EVANS AVENUE",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302604",
            "telephone_number": "763-241-4400",
            "fax_number": "763-241-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-241-4439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "00611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395040900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angels Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Group Health, Inc. (Riverway - Elk River Clinic)
• Group Health, Inc. (Well@Work Sherburne County)
• Kefeng Gu, M.D.
• Guardian Angels Elim Home Care, Inc (Triniti Home Health and Hospice)
• Guardian Angels Elim Home Care, Inc (Triniti Home Health and Hospice)
• Jacob B Gunderson, DC, ATC
• Taylor Gustafson
• Brittany Irene Guthridge
• Thomas J Guyn, M.D.
• Marc H Haaland, LPC

• Skilled Nursing Facility in Elk River, MN
• Providers in Elk River, 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 Aug 14, 2012; 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.