Organization Active NPI

Valley Homes and Services

Doing business as Valley Eldercare Center

  • Skilled Nursing Facility
  • Grand Forks, ND
National Provider Identifier
1881762565
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1027A Issued in ND
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, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY MEMORIAL HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03-0017MedicaidND

Other names 2

  • Valley Eldercare Center Doing business as
  • Valley Senior Living on Columbia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 ColumbiaCCN 355067 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jul 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
196187.1 residents per day on average
Penalties (3 years)
2Fines totaling $20,112

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
35D0858936Valley Eldercare Center2900 14TH Ave S, Grand Forks, ND 58201Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tufte Manor2 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.

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.

NameRoleSinceShare
Tina Lyn Safranski Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Michael R Brown Individual Corporate DirectorDirector Sep 28, 2020
Operational/Managerial Control Sep 28, 2020
Managing Control - Governing BodyDirector Sep 28, 2020
Adp of the SNF Sep 28, 2020
Joe C Litsey Individual Operational/Managerial Control Jun 2, 2023
Adp of the SNF Jun 2, 2023
Altru Health System Organization, Grand Forks, ND Medical provider/supplier Operational/Managerial Control Jun 1, 1994
Adp of the SNF May 21, 2025
Michael Lien Individual Operational/Managerial Control Jul 17, 2005
Adp of the SNF Jul 17, 2005
Valley Senior Living Organization, Grand Forks, ND Corporation 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 Individual Operational/Managerial Control Sep 5, 2021
Adp of the SNF Sep 5, 2021
Nannette Hoeger Individual Operational/Managerial Control Sep 3, 2023
Adp of the SNF Sep 3, 2023
Megan M Anderson Individual Operational/Managerial Control Mar 31, 2014
Adp of the SNF Mar 31, 2014
Garth Rydland Individual Corporate OfficerPresident/Ceo Feb 11, 2014
Corporate DirectorPresident/Ceo Feb 11, 2014
Operational/Managerial Control Feb 11, 2014
Adp of the SNF Feb 11, 2014
Carol Svendson Individual Corporate OfficerSecretary Sep 25, 2023
Corporate DirectorDirector Sep 25, 2023
Operational/Managerial Control Sep 25, 2023
Managing Control - Governing BodyDirector Sep 25, 2023
Adp of the SNF Sep 25, 2023
Renita J Stethem Individual Operational/Managerial Control Oct 13, 2013
Adp of the SNF Oct 13, 2013
Christopher PJ Henderson Individual Operational/Managerial Control Jun 25, 2018
Adp of the SNF Jun 25, 2018
Patrick F Moore Individual Corporate DirectorDirector Sep 25, 2017
Operational/Managerial Control Sep 25, 2017
Managing Control - Governing BodyDirector Sep 25, 2017
Adp of the SNF Sep 25, 2017
Thomas Colenso Individual Corporate DirectorDirector Sep 30, 2024
Operational/Managerial Control Sep 30, 2024
Managing Control - Governing BodyDirector Sep 30, 2024
Adp of the SNF Sep 30, 2024
David Molmen Individual Corporate OfficerVice Chairperson Sep 26, 2022
Corporate DirectorDirector 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 Individual Corporate DirectorDirector Sep 25, 2023
Operational/Managerial Control Sep 25, 2023
Managing Control - Governing BodyDirector Sep 25, 2023
Adp of the SNF Sep 25, 2023
Dwight W Thompson Individual Corporate OfficerTreasurer Sep 25, 2023
Corporate DirectorDirector Sep 26, 2022
Operational/Managerial Control Sep 26, 2022
Managing Control - Governing BodyDirector Sep 26, 2022
Adp of the SNF Sep 26, 2022
Lorilee Bott Individual Operational/Managerial Control Sep 29, 2004
Adp of the SNF Sep 29, 2004
Jessica Baumgarten Individual Operational/Managerial Control Dec 6, 2015
Adp of the SNF Dec 6, 2015
Lee Rerick Individual Operational/Managerial Control Nov 10, 2021
Adp of the SNF Nov 10, 2021
Margaret Reed Individual Corporate OfficerChairperson Sep 23, 2019
Corporate DirectorDirector Sep 25, 2017
Operational/Managerial Control Sep 25, 2017
Managing Control - Governing BodyDirector Sep 25, 2017
Adp of the SNF Sep 25, 2017
Sonja Hathaway Individual 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.

View all 16

Facilities with the same owner 3

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

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.

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

Verify at the official NPI Registry.