Organization Active NPI

Stewartville Nursing Home, Inc.

  • Skilled Nursing Facility
  • Stewartville, MN
National Provider Identifier
1871610113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
332716 Issued in MN
Legal business name
STEWARTVILLE NURSING HOME, INC.
Practice address
120 4TH St NE
Stewartville, MN 55976-1212
Phone
(507) 533-4288
Fax
(507) 533-1384
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eugene Gustason
Title
Administrator
Phone
(507) 533-4288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 332716 MN Primary

Addresses

Primary practice location

120 4TH St NE
Stewartville, MN 55976-1212

Mailing address

120 4TH St NE
Stewartville, MN 55976-1212
Phone (507) 533-4288

Other identifiers 2

IdentifierTypeStateIssuer
NH0549OtherMNUCARE
8787STOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100824001292 MN Part A Provider - Skilled Nursing Facility 9931223120 Practice locations: Stewartville, MN

Skilled nursing facility certification: CCN 245349

Legal name
STEWARTVILLE NURSING HOME, INC.
Doing business as
STEWARTVILLE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1986
Last certification
Apr 3, 2025
Beds
50
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 21, 1969 in MN
Enrollment address
120 4TH St NE
Stewartville, MN 55976-1212
Nursing home name
STEWARTVILLE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stewartville Care CenterCCN 245349 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5042.7 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $11,911

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
24D0718506Stewartville Care Center120 4TH Street NE, Stewartville, MN 55976Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Laurie Ann Feijo Individual Operational/Managerial Control Aug 9, 2024
Adp of the SNF Aug 9, 2024
Margaret Ann Nelson Individual Corporate DirectorBoard Vice President Sep 1, 1986
Tammy Ann Wuerflein Individual Operational/Managerial Control Aug 7, 2007
Adp of the SNF Aug 7, 2007
Jackie Lynn Evans Individual Corporate DirectorBoard Member Mar 1, 2023
Daniel Bryce Honsey Individual Corporate DirectorBoard Member Sep 27, 2023
Connie Faye Grisim Individual Corporate DirectorBoard Member Sep 1, 1986
Kyle Williams Individual Operational/Managerial Control Oct 6, 2025
Adp of the SNF Oct 6, 2025
Sara Lynn Lassig Individual Corporate DirectorBoard Member Mar 1, 2024
Organization, Austin, MN Adp of the SNF Feb 19, 2025
City of Stewartville Organization, Stewartville, MN Adp of the SNF Oct 20, 1969
Organization, Bensalem, PA Corporation Adp of the SNF Feb 19, 2025
Amanda Marie Hoesing Individual Operational/Managerial Control Jun 13, 2011
Adp of the SNF Jun 13, 2011
Carol Marie Neuzil Individual Operational/Managerial Control Jan 29, 2007
Adp of the SNF Jan 29, 2007
Kristin G Swanton Individual Operational/Managerial Control Jan 23, 2012
Adp of the SNF Jan 23, 2012
Daniel W Zimmerman Individual Corporate DirectorMedical Director Mar 8, 2023
Operational/Managerial Control Mar 8, 2023
Adp of the SNF Mar 8, 2023
Jennifer Diane Nogosek Individual Corporate DirectorAdministrator Apr 1, 2023
Operational/Managerial Control Apr 1, 2023
Adp of the SNF Aug 17, 2020
Lauren Ashley Lammers Individual Operational/Managerial Control May 6, 2019
Adp of the SNF May 6, 2019
Jarett Earl Jones Individual Corporate DirectorBoard President Mar 1, 2016

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871610113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 4TH ST NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761212",
            "telephone_number": "507-533-4288",
            "fax_number": "507-533-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 4TH ST NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761212",
            "telephone_number": "507-533-4288",
            "fax_number": "507-533-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARTVILLE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUSTASON",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-533-4288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "332716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0549",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8787ST",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartville, MN

Sources for this page

Verify at the official NPI Registry.