NPIMap

Organization Active NPI

Benedictine Health Center

  • Skilled Nursing Facility
  • Duluth, MN
National Provider Identifier
1891755849
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
329925 Issued in MN
Legal business name
BENEDICTINE HEALTH CENTER
Practice address
935 Kenwood Ave
Duluth, MN 55811-4951
Phone
(218) 723-6408
Fax
(218) 723-6449
NPI assigned
Mar 24, 2006
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Ms. Julie Tomaino
Title
Business Office Manager
Phone
(218) 723-6430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Skilled Nursing Facility 314000000X 329925 MN Primary

Addresses

Primary practice location

935 Kenwood Ave
Duluth, MN 55811-4951

Mailing address

935 Kenwood Ave
Duluth, MN 55811-4951
Phone (218) 723-6408

Other identifiers 5

IdentifierTypeStateIssuer
925385OtherMNUNITED HEALTH CARE
8768BEOtherMNBCBS
NH0248OtherMNUCARE
7122712OtherMNMEDICA
819240500MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000487 MN Part A Provider - Skilled Nursing Facility 1759350895 Practice locations: Duluth, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891755849. Details of each certification follow.

Skilled nursing facility certification: CCN 245236

Legal name
BENEDICTINE HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 17, 1980
Last certification
Nov 7, 2024
Beds
96
Ownership / control type
Church Related
Multi-facility organization
Benedictine
Organization structure
CorporationNon-profit
Incorporated
Sep 5, 1985 in MN
Enrollment address
935 Kenwood Ave
Duluth, MN 55811-4951
Nursing home name
BENEDICTINE HEALTH CENTER
Affiliated entity
BENEDICTINE HEALTH SYSTEM

Care Compare: Nursing home

Medicare Care Compare
Listed as
Benedictine Health CenterCCN 245236 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Nov 17, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9691.2 residents per day on average
Chain
Benedictine Health System23 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
24D0404096Benedictine Health Center935 Kenwood Avenue, Duluth, MN 55811Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Tia Bowe Individual Corporate DirectorEx-Officio Apr 30, 2019
Todd Fedora Individual Corporate DirectorBoard Member Dec 1, 2015
Lois Eckes Individual Corporate DirectorBoard Member Oct 1, 2015
Kevin J Rymanowski Individual Corporate OfficerTreasurer/Cfo Jan 1, 2008
Greg Hansen Individual Corporate DirectorBoard Member Dec 1, 2013
Tricia Bergien Individual Corporate OfficerAssistant Treasurer May 4, 2020
Dorene King Individual Corporate DirectorBoard Member Oct 1, 2011
Sara a McCumber Individual Corporate DirectorBoard Member Dec 1, 2014
John Kolar Individual Corporate DirectorBoard Member Jan 29, 2019
Nathan Jon Palmolea Individual Corporate DirectorBoard Member Apr 1, 2017
Ramona Kruchowski Individual Corporate DirectorBoard Member Jan 29, 2019
Gerald Carley Individual Operational/Managerial ControlPresident/Ceo Jan 3, 2018
Brian Pattock Individual Contracted Managing EmployeeExecutive Director Nov 2, 2017
Karen Pionk Individual Corporate DirectorBoard Member/Chairperson Nov 30, 2017
Theresa Spinler Individual Corporate DirectorBoard Member/Secretary Oct 1, 2009
Benedictine Health System Organization, Minneapolis, MN Corporation, Management services company, Non-profit 5% Or Greater Direct Ownership Interest Sep 5, 1985 100%
Operational/Managerial Control Sep 5, 1985 100%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Benedictine Home Health DuluthDuluth, MN, CCN 248109 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 4

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 3

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": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1891755849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 KENWOOD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114951",
            "telephone_number": "218-723-6408",
            "fax_number": "218-723-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 KENWOOD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114951",
            "telephone_number": "218-723-6408",
            "fax_number": "218-723-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTINE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "TOMAINO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "218-723-6430",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "329925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "925385",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8768BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0248",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "7122712",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819240500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.