Active NPI
Valley Homes and Services
Doing business as Valley Eldercare Center
- Skilled Nursing Facility
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1027A
- Legal business name
- VALLEY HOMES AND SERVICES
- Doing business as
- Valley Eldercare Center
Valley Senior Living on Columbia - Practice address
- 2900 14TH Ave S
Grand Forks, ND 58201-4042 - Phone
- (701) 787-7900
- Fax
- (701) 787-7901
- NPI assigned
- Dec 1, 2006
- Last updated
- Aug 22, 2019
- Organization subpart
- Yes
- Parent organization
- VALLEY MEMORIAL HOMES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Anderson
- Title
- Administrative Project Coordinator
- Phone
- (701) 787-7970
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL5 | ND | |
| Skilled Nursing Facility | 314000000X | 1027A | ND | Primary |
Addresses
Primary practice location
2900 14TH Ave S
Grand Forks, ND 58201-4042
Mailing address
2900 14TH Avenue South
Grand Forks, ND 58201-4016
Phone (701) 787-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-0017 | Medicaid | ND |
Other names 2
- Valley Eldercare Center
- Valley Senior Living on Columbia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030822000019 | ND | Part A Provider - Skilled Nursing Facility | 0446161988 | Practice locations: Grand Forks, ND |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881762565. Details of each certification follow.
Skilled nursing facility certification: CCN 355067
- Legal name
- VALLEY HOMES AND SERVICES
- Doing business as
- VALLEY SENIOR LIVING ON COLUMBIA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1978
- Last certification
- May 16, 2024
- Beds
- 196
- Ownership / control type
- Church Related
- Multi-facility organization
- Valley Senior Living
- Organization structure
- Corporation
- Incorporated
- Nov 11, 1997 in ND
- Enrollment address
- 2900 14TH Ave S
Grand Forks, ND 58201-4042 - Nursing home name
- VALLEY SENIOR LIVING ON COLUMBIA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Valley Senior Living on Columbia
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jul 1, 1978
- Medicare certification status
- Active
- Certified beds
- 196
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 35D0858936 | Valley Eldercare Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Tufte Manor
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Valley Senior Living on Cherry
- Skilled Nursing Facility
- Grand Forks, ND
- NPI 1841691789
Ownership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Tina Lyn Safranski | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Michael R Brown | Corporate Director | Sep 28, 2020 | |
| Operational/Managerial Control | Sep 28, 2020 | ||
| Managing Control - Governing Body | Sep 28, 2020 | ||
| Adp of the SNF | Sep 28, 2020 | ||
| Joe C Litsey | Operational/Managerial Control | Jun 2, 2023 | |
| Adp of the SNF | Jun 2, 2023 | ||
| Altru Health System | Operational/Managerial Control | Jun 1, 1994 | |
| Adp of the SNF | May 21, 2025 | ||
| Michael Lien | Operational/Managerial Control | Jul 17, 2005 | |
| Adp of the SNF | Jul 17, 2005 | ||
| Valley Senior Living | 5% Or Greater Direct Ownership Interest | Nov 12, 1997 | 100% |
| Operational/Managerial Control | Nov 12, 1997 | ||
| Adp of the SNF | Apr 7, 2025 | ||
| Direct Ownership Interest | Nov 12, 1997 | 100% | |
| Adam J Edwards | Operational/Managerial Control | Sep 5, 2021 | |
| Adp of the SNF | Sep 5, 2021 | ||
| Nannette Hoeger | Operational/Managerial Control | Sep 3, 2023 | |
| Adp of the SNF | Sep 3, 2023 | ||
| Megan M Anderson | Operational/Managerial Control | Mar 31, 2014 | |
| Adp of the SNF | Mar 31, 2014 | ||
| Garth Rydland | Corporate Officer | Feb 11, 2014 | |
| Corporate Director | Feb 11, 2014 | ||
| Operational/Managerial Control | Feb 11, 2014 | ||
| Adp of the SNF | Feb 11, 2014 | ||
| Carol Svendson | Corporate Officer | Sep 25, 2023 | |
| Corporate Director | Sep 25, 2023 | ||
| Operational/Managerial Control | Sep 25, 2023 | ||
| Managing Control - Governing Body | Sep 25, 2023 | ||
| Adp of the SNF | Sep 25, 2023 | ||
| Renita J Stethem | Operational/Managerial Control | Oct 13, 2013 | |
| Adp of the SNF | Oct 13, 2013 | ||
| Christopher PJ Henderson | Operational/Managerial Control | Jun 25, 2018 | |
| Adp of the SNF | Jun 25, 2018 | ||
| Patrick F Moore | Corporate Director | Sep 25, 2017 | |
| Operational/Managerial Control | Sep 25, 2017 | ||
| Managing Control - Governing Body | Sep 25, 2017 | ||
| Adp of the SNF | Sep 25, 2017 | ||
| Thomas Colenso | Corporate Director | Sep 30, 2024 | |
| Operational/Managerial Control | Sep 30, 2024 | ||
| Managing Control - Governing Body | Sep 30, 2024 | ||
| Adp of the SNF | Sep 30, 2024 | ||
| David Molmen | Corporate Officer | Sep 26, 2022 | |
| Corporate Director | Sep 23, 2019 | ||
| Operational/Managerial Control | Sep 23, 2019 | ||
| Managing Control - Governing Body | Sep 23, 2019 | ||
| Adp of the SNF | Sep 23, 2019 | ||
| Scott Jerry Berge | Corporate Director | Sep 25, 2023 | |
| Operational/Managerial Control | Sep 25, 2023 | ||
| Managing Control - Governing Body | Sep 25, 2023 | ||
| Adp of the SNF | Sep 25, 2023 | ||
| Dwight W Thompson | Corporate Officer | Sep 25, 2023 | |
| Corporate Director | Sep 26, 2022 | ||
| Operational/Managerial Control | Sep 26, 2022 | ||
| Managing Control - Governing Body | Sep 26, 2022 | ||
| Adp of the SNF | Sep 26, 2022 | ||
| Lorilee Bott | Operational/Managerial Control | Sep 29, 2004 | |
| Adp of the SNF | Sep 29, 2004 | ||
| Jessica Baumgarten | Operational/Managerial Control | Dec 6, 2015 | |
| Adp of the SNF | Dec 6, 2015 | ||
| Lee Rerick | Operational/Managerial Control | Nov 10, 2021 | |
| Adp of the SNF | Nov 10, 2021 | ||
| Margaret Reed | Corporate Officer | Sep 23, 2019 | |
| Corporate Director | Sep 25, 2017 | ||
| Operational/Managerial Control | Sep 25, 2017 | ||
| Managing Control - Governing Body | Sep 25, 2017 | ||
| Adp of the SNF | Sep 25, 2017 | ||
| Sonja Hathaway | Operational/Managerial Control | Feb 19, 2023 | |
| Adp of the SNF | Feb 19, 2023 |
Owners & managing parties with NPI records 16
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Altru Health System (Prosthetics and Orthotics)
- Prosthetic/Orthotic Supplier
- Grand Forks, ND
- NPI 1033257704
Adp of the SNF, Operational/Managerial Control
-
dba Altru 1300 Columbia
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
Adp of the SNF, Operational/Managerial Control
-
dba Altru Care Flight
- Ambulance
- Grand Forks, ND
- NPI 1114485315
Adp of the SNF, Operational/Managerial Control
-
dba Altru Renal Dialysis Devils Lake
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Devils Lake, ND
- NPI 1124117692
Adp of the SNF, Operational/Managerial Control
-
dba Family Medicine Residency Pharmacy
- Clinic Pharmacy
- Grand Forks, ND
- NPI 1144368085
Adp of the SNF, Operational/Managerial Control
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
Adp of the SNF, Operational/Managerial Control
-
dba Altru Home Health
- Home Health Agency
- Grand Forks, ND
- NPI 1346339850
Adp of the SNF, Operational/Managerial Control
-
- Home Infusion Therapy Pharmacy
- Grand Forks, ND
- NPI 1497844906
Adp of the SNF, Operational/Managerial Control
-
- Clinic/Center
- Grand Forks, ND
- NPI 1811617103
Adp of the SNF, Operational/Managerial Control
-
dba Altru Clinic - Devils Lake
- Rural Health Clinic/Center
- Devils Lake, ND
- NPI 1912632449
Adp of the SNF, Operational/Managerial Control
-
- Family Medicine Physician
- Grand Forks, ND
- NPI 1669766283
Adp of the SNF, Operational/Managerial Control
-
dba Altru Health System-Renal Dialysis at Lifecare
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Roseau, MN
- NPI 1144518549
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Country Estates
- Skilled Nursing Facility
- Grand Forks, ND
- NPI 1275627184
Altru Health System, Valley Senior Living
-
dba Altru Home Health
- Home Health Agency
- Grand Forks, ND
- NPI 1346339850
Altru Health System
-
dba Altru Rehabilitation Hospital
- Rehabilitation Hospital
- Grand Forks, ND
- NPI 1922751452
Altru Health System
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Grand Forks, ND
- NPI 1932328234
-
- Family Medicine Physician
- Grand Forks, ND
- NPI 1669766283
-
- Family Medicine Physician
- Grand Forks, ND
- NPI 1336715366
Affiliated clinicians 4
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": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566432000000",
"number": "1881762565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 14TH AVENUE SOUTH",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014016",
"telephone_number": "701-787-7900",
"fax_number": "701-787-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 14TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014042",
"telephone_number": "701-787-7900",
"fax_number": "701-787-7901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY HOMES AND SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VALLEY MEMORIAL HOMES",
"enumeration_date": "2006-12-01",
"last_updated": "2019-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "ADMINISTRATIVE PROJECT COORDINATOR",
"authorized_official_telephone_number": "701-787-7970"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "ND",
"license": "AL5",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ND",
"license": "1027A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03-0017",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Eldercare Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Senior Living on Columbia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.