Active NPI
Laurels Peak Health Care LLC
Doing business as Laurels Peak Care and Rehabilitation Center
- Skilled Nursing Facility
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LAURELS PEAK HEALTH CARE LLC
- Doing business as
- Laurels Peak Care and Rehabilitation Center
- Practice address
- 700 James Ave
Mankato, MN 56001-4090 - Phone
- (507) 345-4631
- NPI assigned
- May 13, 2015
- Last updated
- May 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Legum
- Title
- Manager
- Phone
- (516) 410-5209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
700 James Ave
Mankato, MN 56001-4090
Mailing address
700 James Ave
Mankato, MN 56001-4090
Other names 1
- Laurels Peak Care and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150528001800 | MN | Part A Provider - Skilled Nursing Facility | 1355661554 | Practice locations: Mankato, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1861870685. Details of each certification follow.
Skilled nursing facility certification: CCN 245516
- Legal name
- LAURELS PEAK HEALTH CARE LLC
- Doing business as
- LAURELS PEAK CARE & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1988
- Last certification
- Aug 21, 2024
- Beds
- 60
- Ownership / control type
- Corporation
- Multi-facility organization
- Monarch Healthcare Management
- Organization structure
- LLC
- Incorporated
- Apr 1, 2015 in MN
- Enrollment address
- 700 James Ave
Mankato, MN 56001-4099 - Nursing home name
- LAURELS PEAK HEALTH CARE, LLC
- Affiliated entity
- MONARCH HEALTHCARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Laurels Peak Health Care, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 1, 1988
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Monarch Healthcare Management
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0404771 | Laurels Peak Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
700 James Ave
Mankato, MN 56001
Phone (507) 344-4280
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Muencz | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 12.5% |
| Corporate Officer | Jul 1, 2015 | 12.5% | |
| Spartan Healthcare LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 22.5% |
| William Stern | 5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 15% |
| Corporate Officer | Jul 1, 2015 | 15% | |
| Marc Halpert | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 22.5% |
| Jeffrey Arem | 5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 12.5% |
| HML LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 12.5% |
| Monarch Healthcare Management LLC | Operational/Managerial Control | Jul 1, 2015 | 100% |
| Joshua Legum | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 22.5% |
| W-2 Managing Employee | Jul 1, 2015 | 22.5% | |
| Yazoma Holdings, LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 22.5% |
| Noam Jaffa | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 15% |
| Nij LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 15% |
Facilities with the same owner 44
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Gaylord, MN
- NPI 1710646641
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Alexandria, MN
- NPI 1609380500
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1952849416
HML LLC, Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1417495987
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Delano, MN
- NPI 1144768615
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Excelsior, MN
- NPI 1053859520
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Fridley, MN
- NPI 1962940437
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Stillwater, MN
- NPI 1871031344
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Stillwater, MN
- NPI 1598203069
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Saint Paul, MN
- NPI 1952849424
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Roseville, MN
- NPI 1861930331
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
-
- Skilled Nursing Facility
- Rush City, MN
- NPI 1770021248
Nij LLC, Spartan Healthcare LLC, Yazoma Holdings, LLC
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.
-
- Family Medicine Physician
- Mankato, MN
- NPI 1760473722
-
- Family Medicine Physician
- Saint James, MN
- NPI 1184608671
Affiliated clinicians 2
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": "1431475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431475200000",
"number": "1861870685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 JAMES AVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 JAMES AVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014090",
"telephone_number": "507-345-4631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURELS PEAK HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-13",
"last_updated": "2015-05-13",
"status": "A",
"authorized_official_last_name": "LEGUM",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "516-410-5209"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laurels Peak Care and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.