Active NPI
Heartland Senior Living
Doing business as Parkview Care Center - Wells
- Skilled Nursing Facility
- Wells, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HEARTLAND SENIOR LIVING
- Doing business as
- Parkview Care Center - Wells
- Practice address
- 55 10TH St SE
Wells, MN 56097-1814 - Phone
- (507) 553-3115
- Fax
- (507) 553-6060
- NPI assigned
- Apr 23, 2009
- Last updated
- Jul 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Erickson
- Title
- President
- Phone
- (507) 893-3155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MN | Primary |
Addresses
Primary practice location
55 10TH St SE
Wells, MN 56097-1814
Mailing address
55 10TH St SE
Wells, MN 56097-1814
Phone (507) 553-3115
Other names 1
- Parkview Care Center - Wells
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161220001466 | MN | Part A Provider - Skilled Nursing Facility | 9032490677 | Practice locations: Wells, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902040736. Details of each certification follow.
Skilled nursing facility certification: CCN 245436
- Legal name
- HEARTLAND SENIOR LIVING
- Doing business as
- PARKVIEW CARE CENTER - WELLS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1987
- Last certification
- Aug 2, 2024
- Beds
- 30
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Heartland Senior Living
- Organization structure
- Corporation
- Incorporated
- Sep 18, 2013 in MN
- Enrollment address
- 55 10TH St SE
Wells, MN 56097-1814 - Nursing home name
- PARKVIEW CARE CENTER
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Parkview Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 1, 1987
- Medicare certification status
- Active
- Certified beds
- 30
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 24D0405170 | Parkview Care Center - Wells Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Heartland Senior Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Truman, MN
- NPI 1134133887
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Karen L Weihe | Corporate Director | Dec 1, 2018 | |
| William Suppalla | Corporate Officer | Mar 3, 2014 | |
| James K Ness | Corporate Director | Mar 3, 2014 | |
| Aaron Johnson | Operational/Managerial Control | Jan 1, 2021 | |
| Adp of the SNF | Jan 1, 2021 | ||
| William Groskreutz | Corporate Director | Aug 22, 2022 | |
| Yvonne Noorlun | Corporate Director | Feb 28, 2022 | |
| Christopher Knoll | Corporate Officer | Jan 1, 2019 | |
| Adp of the SNF | Jan 1, 2019 | ||
| William H Erickson | Corporate Officer | Mar 3, 2014 | |
| Jean J Anderson | Corporate Officer | Mar 3, 2014 | |
| Heather M Hardt | Corporate Officer | May 3, 2021 | |
| Operational/Managerial Control | May 3, 2021 | ||
| Adp of the SNF | May 3, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Blue Earth, MN
- NPI 1790984144
Adp of the SNF, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Blue Earth, MN
- NPI 1790984144
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": "1240444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531440000000",
"number": "1902040736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 10TH ST SE",
"city": "WELLS",
"state": "MN",
"postal_code": "560971814",
"telephone_number": "507-553-3115",
"fax_number": "507-553-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 10TH ST SE",
"city": "WELLS",
"state": "MN",
"postal_code": "560971814",
"telephone_number": "507-553-3115",
"fax_number": "507-553-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND SENIOR LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-23",
"last_updated": "2018-07-13",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-893-3155",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkview Care Center - Wells",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wells, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.