Organization Active NPI

Belgrade Nursing Home

  • Skilled Nursing Facility
  • Belgrade, MN
National Provider Identifier
1972506335
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
9398975 Issued in MN
Legal business name
BELGRADE NURSING HOME
Practice address
103 School St
Belgrade, MN 56312
Phone
(320) 254-8215
Fax
(320) 254-8238
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mr. Philip Lord
Title
Administrator
Phone
(320) 254-8215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 9398975 MN Primary

Addresses

Primary practice location

103 School St
Belgrade, MN 56312

Mailing address

PO Box 340
Belgrade, MN 56312-0340
Phone (320) 254-8215

Other identifiers 1

IdentifierTypeStateIssuer
901743700MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000141 MN Part A Provider - Skilled Nursing Facility 7012175748 Practice locations: Belgrade, MN

Skilled nursing facility certification: CCN 245418

Legal name
BELGRADE NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1987
Last certification
Feb 20, 2025
Beds
34
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1967 in MN
Enrollment address
103 School St
Belgrade, MN 56312-9176
Nursing home name
BELGRADE NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Belgrade Nursing HomeCCN 245418 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3425.4 residents per day on average

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
24D1029900Belgrade Nursing Home103 School Street, Belgrade, MN 56312Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
City of Belgrade Organization, Belgrade, MN Non-profit Other May 5, 1965
Robert P Montenegro Individual Contracted Managing EmployeeMD; Sep 1, 2021
Ann Winger Individual Corporate DirectorBoard Member Nov 24, 2015
Sandra Westaby Individual Corporate DirectorBoard Member President Nov 26, 2002
Trudy Lieser Individual Corporate DirectorBoard Member Nov 24, 2015
James R Lemmer Individual Corporate DirectorBoard Member Dec 19, 2006
Stephanie J Fischer Individual Operational/Managerial ControlAdministrator Jan 1, 2016

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 2

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1972506335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "BELGRADE",
            "state": "MN",
            "postal_code": "563120340",
            "telephone_number": "320-254-8215",
            "fax_number": "320-254-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SCHOOL ST",
            "city": "BELGRADE",
            "state": "MN",
            "postal_code": "56312",
            "telephone_number": "320-254-8215",
            "fax_number": "320-254-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELGRADE NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-254-8215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "9398975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901743700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MN

Sources for this page

Verify at the official NPI Registry.