Organization Active NPI

Valley Care and Rehab, LLC

  • Skilled Nursing Facility
  • Barnesville, MN
National Provider Identifier
1891075230
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VALLEY CARE AND REHAB, LLC
Practice address
600 5TH Street SE
Barnesville, MN 56514
Phone
(218) 354-2254
Fax
(218) 354-2153
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Mr. Mark Rustad
Title
Secretary
Phone
(218) 354-2254

Specialties & licenses 1

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

Addresses

Primary practice location

600 5TH Street SE
Barnesville, MN 56514

Mailing address

PO Box 129
600 5TH Street SE
Barnesville, MN 56514
Phone (218) 354-2254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151019001195 MN Part A Provider - Skilled Nursing Facility 8527377340 Practice locations: Barnesville, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891075230. Details of each certification follow.

Skilled nursing facility certification: CCN 245281

Legal name
VALLEY CARE AND REHAB LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1985
Last certification
Apr 23, 2025
Beds
35
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 24, 2015 in MN
Enrollment address
600 5TH St SE
Barnesville, MN 56514-3801
Nursing home name
VALLEY CARE AND REHAB LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Valley Care and Rehab LLCCCN 245281 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3532.8 residents per day on average

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
24D0707432Valley Care and Rehab LLC600 5TH Street SE, Barnesville, MN 56514Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

600 5th St SE
Barnesville, MN 56514
Phone (218) 354-2254

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Holly Ritchie Individual Operational/Managerial Control Dec 30, 2024
Teri Ruff Individual Operational/Managerial Control Dec 30, 2024
Karen Sharp Individual Operational/Managerial Control Dec 30, 2024
Rusty Acres, LLC Organization, Sabin, MN LLC Adp of the SNF Nov 1, 2015
Madison Smart Individual Operational/Managerial Control Dec 30, 2024
Owen R Thompson Individual Operational/Managerial Control Nov 1, 2015
Adp of the SNF Feb 12, 2025
Debra D Rustad Individual 5% Or Greater Direct Ownership Interest Nov 1, 2015 51%
Operational/Managerial Control Nov 1, 2015
Adp of the SNF Nov 1, 2015
Mark M Rustad Individual 5% Or Greater Direct Ownership InterestSecretary Nov 1, 2015 49%
Operational/Managerial Control Nov 1, 2015
Adp of the SNF Nov 1, 2015
Ryan Nielsen Individual Operational/Managerial Control Dec 30, 2024

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 1

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 1

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": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1891075230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "address_2": "600 5TH STREET SE",
            "city": "BARNESVILLE",
            "state": "MN",
            "postal_code": "56514",
            "telephone_number": "218-354-2254",
            "fax_number": "218-354-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 5TH STREET SE",
            "city": "BARNESVILLE",
            "state": "MN",
            "postal_code": "56514",
            "telephone_number": "218-354-2254",
            "fax_number": "218-354-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARE AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "RUSTAD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "218-354-2254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, MN

Sources for this page

Verify at the official NPI Registry.