NPIMap

Organization Active NPI

CV Senior Housing LLC

  • Skilled Nursing Facility
  • Saint Paul, MN
National Provider Identifier
1932479482
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
27189 Issued in MN
Legal business name
CV SENIOR HOUSING LLC
Practice address
525 Fairview Ave S
Saint Paul, MN 55116-1458
Phone
(651) 631-5000
Fax
(651) 631-5001
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Jon Tranby
Title
Director
Phone
(651) 631-6102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 27189 MN Primary

Addresses

Primary practice location

525 Fairview Ave S
Saint Paul, MN 55116-1458

Mailing address

2845 Hamline Ave N
Saint Paul, MN 55113-7127
Phone (651) 631-6432

Other identifiers 2

IdentifierTypeStateIssuer
NH0891OtherMNUCARE
550012400MedicaidMN

Other names 1

  • Carondelet VIllage Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120613000056 MN Part A Provider - Skilled Nursing Facility 5395909840 Practice locations: Saint Paul, MN

Skilled nursing facility certification: CCN 245617

Legal name
CV SENIOR HOUSING LLC
Doing business as
CARONDELET VILLAGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 27, 2012
Last certification
Oct 17, 2024
Beds
45
Ownership / control type
Church Related
Multi-facility organization
Presbyterian Homes and Services
Organization structure
LLCNon-profit
Enrollment address
525 Fairview Ave S
Saint Paul, MN 55116-1458
Nursing home name
CARONDELET VILLAGE CARE CENTER
Affiliated entity
PRESBYTERIAN HOMES & SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carondelet Village Care CenterCCN 245617
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Aug 27, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4542.5 residents per day on average
Chain
Presbyterian Homes & Services21 facilities in the chain
Penalties (3 years)
1Fines totaling $9,113

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
24D2033398Carondelet Village525 Fairview Ave South, Saint Paul, MN 55116Certificate of waiverNov 30, 2027
24D2193509Carondelet Village525 Fairview Ave South, Saint Paul, MN 55116Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Carondelet Village2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
John W Mielke Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Margaret M Belanger Individual Corporate OfficerChair Apr 14, 2010
Corporate DirectorBoard Member Apr 14, 2010 25%
Computershare Corporate Trust Company, NA Organization, Saint Paul, MN Corporation, Financial institution 5% Or Greater Mortgage Interest Nov 1, 2021 75%
Mark T Meyer Individual Corporate OfficerChief Financial Manager Apr 14, 2010 25%
Corporate DirectorBoard Member Apr 14, 2010 25%
Operational/Managerial Control Apr 14, 2010
Adp of the SNF Apr 14, 2010
Carondelet Village Inc Organization, Roseville, MN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 14, 2010 100%
Jonathan David Fletcher Individual Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
PHS Management, LLC Organization, Roseville, MN LLC, Management services company, Non-profit, Chain home office Operational/Managerial Control Mar 11, 2011 100%
Adp of the SNF Jul 11, 2025
Heidi a Peterson Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
James a Reetz Individual Corporate OfficerSecretary Dec 8, 2017
Corporate DirectorBoard Member Dec 8, 2017 25%
Duane W Larson Individual Corporate DirectorMember of Board of Governors Jan 1, 2020 25%
Luann Marie Linn Individual Operational/Managerial Control Apr 5, 2023
Adp of the SNF Apr 5, 2023
Sisters of St. Joseph of Carondelet, St. Paul Province Organization, Saint Paul, MN Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 14, 2010 50%
Presbyterian Homes and Services Organization, Roseville, MN Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 14, 2010 50%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

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": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1932479482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 FAIRVIEW AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161458",
            "telephone_number": "651-631-5000",
            "fax_number": "651-631-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CV SENIOR HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "TRANBY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-631-6102"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "27189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0891",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550012400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carondelet VIllage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.