NPIMap

Organization Active NPI

Ortonville Area Health Services

  • Skilled Nursing Facility
  • Ortonville, MN
National Provider Identifier
1962403295
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328420 Issued in MN
Legal business name
ORTONVILLE AREA HEALTH SERVICES
Practice address
201 Mark Drive
Ortonville, MN 56278
Phone
(320) 839-2502
Fax
(320) 839-4105
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Dr. Allan Ross, MD
Title
Ceo
Phone
(320) 839-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328420 MN Primary

Addresses

Primary practice location

201 Mark Drive
Ortonville, MN 56278

Mailing address

201 Mark Drive
Ortonville, MN 56278-9999
Phone (320) 839-2502

Other identifiers 1

IdentifierTypeStateIssuer
545740800MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000527 MN Part A Provider - Skilled Nursing Facility 2365448768 Practice locations: Ortonville, MN

Skilled nursing facility certification: CCN 245451

Legal name
ORTONVILLE AREA HEALTH SERVICES
Doing business as
FAIRWAY VIEW NEIGHBORHOODS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1987
Last certification
May 14, 2025
Beds
51
Ownership / control type
City
Organization structure
OtherNon-profit
Enrollment address
201 Mark Dr
Ortonville, MN 56278-2210
Nursing home name
FAIRWAY VIEW NEIGHBORHOODS

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairway View NeighborhoodsCCN 245451
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - City
Certified
Apr 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5148.0 residents per day on average
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
24D0915501Fairway View Neighborhoods201 Mark Drive, Ortonville, MN 56278Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ortonville Area Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Allan E Ross Individual Corporate OfficerCeo Aug 31, 2022
Shane Michael Ayres Individual Corporate OfficerCfo Oct 9, 2018
W-2 Managing EmployeeCfo Oct 9, 2018
City of Ortonville Organization, Ortonville, MN 5% Or Greater Indirect Ownership Interest May 14, 2015 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1962403295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARK DRIVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562789999",
            "telephone_number": "320-839-2502",
            "fax_number": "320-839-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARK DRIVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "56278",
            "telephone_number": "320-839-2502",
            "fax_number": "320-839-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTONVILLE AREA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-839-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545740800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ortonville, MN

Sources for this page

Verify at the official NPI Registry.