Benedictine Health Center
Organization Active NPI Skilled Nursing Facility · Duluth, MN
NPI 1891755849 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1891755849
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 329925 (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
- Organization subpart
- No
Authorized official
- Name
- Ms. Julie Tomaino
- Title
- Business Office Manager
- Phone
- (218) 723-6430
Owners & managing parties with NPI records 2
Owned or controlled facilities with NPI records 2
Member organizations 1
Facilities with the same owner 27
Practitioners 4
-
Peter Alan Good, MD
Affiliated clinicians 3
-
Peter Alan Good, MD
Medicare Care Compare: Nursing home
- Listed as
- Benedictine Health Center
- 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
- Active
- Certified beds
- 96 · 91.2 residents per day on average
- Chain
- Benedictine Health System
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0404096 | Benedictine Health Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
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
- Corporation · Non-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
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Tia Bowe |
Corporate Director |
Apr 30, 2019 | |
| Todd Fedora |
Corporate Director |
Dec 1, 2015 | |
| Lois Eckes |
Corporate Director |
Oct 1, 2015 | |
| Kevin J Rymanowski |
Corporate Officer |
Jan 1, 2008 | |
| Greg Hansen |
Corporate Director |
Dec 1, 2013 | |
| Tricia Bergien |
Corporate Officer |
May 4, 2020 | |
| Dorene King |
Corporate Director |
Oct 1, 2011 | |
| Sara a McCumber |
Corporate Director |
Dec 1, 2014 | |
| John Kolar |
Corporate Director |
Jan 29, 2019 | |
| Nathan Jon Palmolea |
Corporate Director |
Apr 1, 2017 | |
| Ramona Kruchowski |
Corporate Director |
Jan 29, 2019 | |
| Gerald Carley |
Operational/Managerial Control |
Jan 3, 2018 | |
| Brian Pattock |
Contracted Managing Employee |
Nov 2, 2017 | |
| Karen Pionk |
Corporate Director |
Nov 30, 2017 | |
| Theresa Spinler |
Corporate Director |
Oct 1, 2009 | |
| Benedictine Health System |
5% Or Greater Direct Ownership Interest | Sep 5, 1985 | 100% |
| Operational/Managerial Control | Sep 5, 1985 | 100% |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Benedictine Home Health Duluth |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040927000487 | MN | Part a Provider - Skilled Nursing Facility | 1759350895 | Practice locations: Duluth, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Skilled Nursing Facility | 314000000X | 329925 | MN | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 819240500 | Medicaid | MN | |
| 7122712 | Other | MN | MEDICA |
| 8768BE | Other | MN | BCBS |
| NH0248 | Other | MN | UCARE |
| 925385 | Other | MN | UNITED HEALTH CARE |
Other providers in Duluth, MN
- Courtney Bellmore
- Belongings, LLC
- Bridget Mary Bemis
- Ricci Lee Bender
- Benedictine Care Centers
- Benedictine Sisters Benevolent Association
- Joseph Benert
- Mishell De Los Angeles Benitez Suarez
- Gail Kathryn Bennett
- Janet S. Bennett
All providers in Duluth, MN · Skilled Nursing Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.