NPIMap

Organization Active NPI

Mennonite Home of Albany, Inc.

  • Skilled Nursing Facility
  • Albany, OR
National Provider Identifier
1962402271
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MENNONITE HOME OF ALBANY, INC.
Practice address
5353 Columbus St SE
Albany, OR 97322-7136
Phone
(541) 928-7232
Fax
(541) 917-1399
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Chester W. Patterson, CPA, NHA
Title
Chief Financial Officer
Phone
(541) 928-7232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OR
Skilled Nursing Facility 314000000X OR Primary

Addresses

Primary practice location

5353 Columbus St SE
Albany, OR 97322-7136

Mailing address

5353 Columbus St SE
Albany, OR 97322-7136
Phone (541) 928-7232

Other identifiers 1

IdentifierTypeStateIssuer
809483MedicaidOR

Other names 1

  • Mennonite Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801001098 OR Part A Provider - Skilled Nursing Facility 9133157084 Practice locations: Albany, OR

Skilled nursing facility certification: CCN 385206

Legal name
MENNONITE HOME OF ALBANY, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 11, 1989
Last certification
Nov 21, 2024
Beds
95
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 19, 1990 in OR
Enrollment address
5353 Columbus St SE
Albany, OR 97322-7136
Nursing home name
MENNONITE HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mennonite HomeCCN 385206
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 11, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9537.7 residents per day on average
Penalties (3 years)
2Fines totaling $17,934

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Lydia'S House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5353 Columbus St SE
Albany, OR 97322
Phone (541) 928-5152

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
Brett Tieszen Individual Corporate DirectorBoard Chair May 8, 2018
Phillip C Histand Individual Corporate DirectorBoard Member May 6, 2021
Shauna N Hansell Individual W-2 Managing EmployeeMedical Records Director Dec 5, 2012
Maureen Stapleton Rumpel Individual W-2 Managing EmployeeSenior Billing Specialist Sep 28, 2018
Angela M Trahan Individual W-2 Managing EmployeeDirector of Nursing Services Feb 7, 2011
Elizabeth M Walls Individual W-2 Managing EmployeeRisk Management Director Nov 8, 2006
Operational/Managerial ControlMennonite Home Administrator Apr 28, 2015
Michael Baker Individual Corporate DirectorBoard Member Oct 31, 2013
Nancy Ferris Individual Corporate DirectorBoard Member May 18, 2018
Mary Elizabeth Melero Individual Corporate DirectorBoard Member Mar 4, 2021
Clifford J Mars Individual Corporate OfficerVP Cfo & Financial & Info SVCS Aug 6, 2012
Diane Hood Individual Corporate OfficerExecutive Director Jan 30, 2023
Shanilka N Desoyza Individual Corporate DirectorBoard Member May 31, 2016
Dennis Ropp Individual Corporate DirectorBoard Member Feb 28, 2015
Kristi Jacobo Individual Corporate DirectorBoard Member Nov 6, 2018
Rick Pimm Individual Corporate DirectorBoard Member Nov 6, 2018
Gene Stutzman Individual Corporate DirectorBoard Member Jul 13, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962402271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 COLUMBUS ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973227136",
            "telephone_number": "541-928-7232",
            "fax_number": "541-917-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 COLUMBUS ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973227136",
            "telephone_number": "541-928-7232",
            "fax_number": "541-917-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE HOME OF ALBANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-928-7232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809483",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mennonite Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.