NPIMap

Organization Active NPI

The Waterview Pines LLC

  • Skilled Nursing Facility
  • Virginia, MN
National Provider Identifier
1982269775
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE WATERVIEW PINES LLC
Practice address
1201 8TH St S
Virginia, MN 55792-3349
Phone
(218) 748-7800
NPI assigned
May 7, 2019
Last updated
Jun 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Josh Legum
Title
Ceo
Phone
(507) 203-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1201 8TH St S
Virginia, MN 55792-3349

Mailing address

638 Southbend Ave
Mankato, MN 56001-2168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190601000026 MN Part A Provider - Skilled Nursing Facility 5294068565 Practice locations: Virginia, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982269775. Details of each certification follow.

Skilled nursing facility certification: CCN 245283

Legal name
THE WATERVIEW PINES LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1985
Last certification
Nov 20, 2024
Beds
83
Ownership / control type
Partnership
Multi-facility organization
Monarch
Organization structure
LLCProprietary
Incorporated
May 7, 2019 in MN
Enrollment address
1201 8TH St S
Virginia, MN 55792-3349
Nursing home name
THE WATERVIEW PINES LLC
Affiliated entity
MONARCH HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Waterview Pines LLCCCN 245283 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Aug 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8359.1 residents per day on average
Chain
Monarch Healthcare Management45 facilities in the chain
Penalties (3 years)
1Fines totaling $10,036

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Spartan Healthcare LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2019 30%
WBS Holdings LLC Organization, Brooklyn, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2019 20%
William Stern Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2019 20%
Corporate OfficerChief Financial Officer Jun 1, 2019 20%
Marc Halpert Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2019 30%
Corporate OfficerChief Operations Officer Jun 1, 2019 30%
Jeffrey Arem Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2019 10%
Monarch Healthcare Operating VIII LLC Organization, Mankato, MN LLC, For-profit Operational/Managerial Control Jun 1, 2019 100%
Joshua Legum Individual Contracted Managing EmployeeCeo Jun 1, 2019 30%
5% Or Greater Indirect Ownership Interest Jun 1, 2019 30%
Yazoma Holdings, LLC Organization, Skokie, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2019 30%
Noam Jaffa Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2019 10%
Corporate DirectorDirector of Procurement Jun 1, 2019 10%
Nij LLC Organization, St Louis Park, MN LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2019 10%
Jca Holdings LLC Organization, Brooklyn, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2019 10%

Facilities with the same owner 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1982269775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SOUTHBEND AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 8TH ST S",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923349",
            "telephone_number": "218-748-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATERVIEW PINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-203-1001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.