Active NPI
Winona Senior Services, Inc.
- Skilled Nursing Facility
- Winona, MN
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records11
- Other NPIs with the same Medicare PAC ID1
- Member of1
- Facilities with the same owner1
- Practitioners1
- Affiliated clinicians2
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- Skilled nursing facility certification: CCN 245240
- All disclosed owners & managing parties23
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers3
- Other names1
- NPI Registry JSON
- Other providers in Winona, MN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 328588
- Legal business name
- WINONA SENIOR SERVICES, INC.
- Practice address
- 865 Mankato Ave
Winona, MN 55987-4868 - Phone
- (507) 457-4366
- Fax
- (507) 457-4413
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Rachelle Heising- Schultz
- Title
- Ceo
- Phone
- (507) 457-4300
Owners & managing parties with NPI records 11
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Community/Retail Pharmacy
- Winona, MN
- NPI 1144521089
5% Or Greater Direct Ownership Interest
-
- Durable Medical Equipment & Medical Supplies
- Winona, MN
- NPI 1265469530
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
5% Or Greater Direct Ownership Interest
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Winona, MN
- NPI 1447334602
5% Or Greater Direct Ownership Interest
-
- Medicare Defined Swing Bed Hospital Unit
- Winona, MN
- NPI 1578078036
5% Or Greater Direct Ownership Interest
-
- General Practice Physician
- Winona, MN
- NPI 1720210099
5% Or Greater Direct Ownership Interest
-
- Primary Care Clinic/Center
- Winona, MN
- NPI 1922758945
5% Or Greater Direct Ownership Interest
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Winona, MN
- NPI 1629152889
7911081948
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Winona, MN
- NPI 1629152889
Winona Health Services
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Winona, MN
- NPI 1780894527
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lake Winona Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 1, 1982
- Medicare certification status
- Active
- Certified beds
- 80
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 |
|---|---|---|---|
| 24D2190644 | Lake Winona Manor | Certificate of waiver | Aug 17, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100220000415 | MN | Part a Provider - Skilled Nursing Facility | 7911081948 | Practice locations: Winona, MN |
Skilled nursing facility certification: CCN 245240
Medicare enrollment files- Legal name
- WINONA SENIOR SERVICES, INC
- Doing business as
- LAKE WINONA MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1982
- Last certification
- Dec 5, 2024
- Beds
- 80
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 6, 1894 in MN
- Enrollment address
- 865 Mankato Ave
Winona, MN 55987-4868 - Nursing home name
- LAKE WINONA MANOR
All disclosed owners & managing parties 23
Medicare enrollment filesAs 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 |
|---|---|---|---|
| Kenneth a Mogren | Corporate Director | Jan 1, 2007 | |
| Mark S Wagner | Corporate Director | Jan 1, 2007 | |
| Linda Atkinson | W-2 Managing Employee | Nov 5, 2018 | |
| Nicholas Modjeski | Corporate Director | Dec 1, 2017 | |
| Greg Evans | Corporate Director | Jun 1, 2016 | |
| Brian Semling | Corporate Director | Nov 1, 2016 | |
| David M Gilmer | Corporate Director | Aug 1, 2018 | |
| Vicky L Decker | Corporate Director | Jan 1, 2007 | |
| Steven L Blue | Corporate Director | Jan 1, 2007 | |
| Robert Williams | Corporate Director | Nov 1, 2016 | |
| Brett S Whyte | Corporate Director | Oct 18, 2016 | |
| Rodney Baker | Corporate Director | Jan 1, 2014 | |
| Hugh Miller | Corporate Director | Jan 1, 1993 | |
| Jan Brosnahan | Corporate Director | Aug 1, 2011 | |
| Operational/Managerial Control | Sep 24, 2013 | ||
| Sandra Burke | Corporate Director | Jan 1, 2016 | |
| Matthew Broghammer | Corporate Director | Jan 1, 2007 | |
| Katrina R Hammel | Corporate Director | Feb 1, 2019 | |
| Fatima Said | Corporate Director | Aug 1, 2018 | |
| Winona Health Services | 5% Or Greater Direct Ownership Interest | Jul 1, 2011 | 100% |
| Todd Paulson | Corporate Director | Aug 1, 2018 | |
| Robin J Hoeg | Operational/Managerial Control | Jul 1, 2014 | |
| Rachelle Heising-Schultz | Corporate Director | Jan 1, 2007 | |
| Operational/Managerial Control | Jul 1, 2002 | ||
| Audrey Ceplecha | W-2 Managing Employee | Nov 1, 2021 | |
| Operational/Managerial Control | Nov 1, 2021 |
National Provider Directory
National Provider Directory- Tax ID family
- Adith Miller Manor
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Winona, MN
- NPI 1134334543
-
- Alzheimer Center (Dementia Center)
- Winona, MN
- NPI 1215142625
-
- Alzheimer Center (Dementia Center)
- Winona, MN
- NPI 1396950705
-
- Durable Medical Equipment & Medical Supplies
- Winona, MN
- NPI 1821699422
Locations
865 Mankato Ave
Winona, MN 55987
Phone (507) 457-4366
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 328588 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
865 Mankato Ave
Winona, MN 55987-4868
Mailing address
865 Mankato Ave
Winona, MN 55987-4868
Phone (507) 457-4366
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124847200 | Medicaid | MN | |
| 1928ECO | Other | MN | BLUE CROSS |
| NH0492 | Other | MN | UCARE |
Other names 1
NPPES NPI Registry- Lake Winona Manor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2025.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1962442756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 MANKATO AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559874868",
"telephone_number": "507-457-4366",
"fax_number": "507-457-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 MANKATO AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559874868",
"telephone_number": "507-457-4366",
"fax_number": "507-457-4413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINONA SENIOR SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "HEISING- SCHULTZ",
"authorized_official_first_name": "RACHELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "507-457-4300",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": "328588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124847200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1928ECO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "NH0492",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Winona Manor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lake Winona Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winona, MN
- Winona Senior Services, Inc.
- Winona Senior Services, Inc.
- Winona Senior Services, Inc.
- Winona Senior Services, Inc.
- Winona Senior Services, Inc.
- Winona State University Student Health Services
- David Witkiewicz, PHARMD
- Terrance Richard Wobig, SPEECH LANGUAGE PATH
- Courtney Wobschall
- Megan Elizabeth Wojciechowski
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.