Range Regional Health Services

Organization Active NPI Home Health Agency · Hibbing, MN

NPI 1992782239 · NPPES record last updated Jan 20, 2026

Key facts

NPI
1992782239
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
327737 (MN)
Legal business name
RANGE REGIONAL HEALTH SERVICES
Practice address
1101 E 37TH St
Ste 27
Hibbing, MN 55746-2925
Phone
(218) 262-6982
Fax
(218) 262-1723
NPI assigned
Dec 28, 2005
Organization subpart
Yes
Parent organization (as reported)
RANGE REGIONAL HEALTH SERVICES

Authorized official

Name
Mr. John D Kritz
Title
Chief Financial Officer
Phone
(218) 362-6657

Owners & managing parties with NPI records 4

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 6

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

Practitioners 349

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

View all 349

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Home health agency

Listed as
Range Regional Health Services CCN 247183
Overall star rating
★★☆☆☆ 2 of 5
Ownership
Non-Profit
Certified
Oct 31, 1984
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1061756Healthline LLC Dba Healthline Homecare
1101 East 37TH Street Suite 27, Hibbing, MN 55746
Certificate of waiverNov 27, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Home health agency certification: CCN 247183

Legal name
RANGE REGIONAL HEALTH SERVICES
Doing business as
RANGE REGIONAL HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 31, 1984
Last certification
Apr 11, 2019
Ownership / control type
Non-Profit
Organization structure
Other · Non-profit
Incorporated
Dec 7, 1976 in MN
Enrollment address
1101 E 37TH St
Ste 27
Hibbing, MN 55746-2925

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Jeffrey Scott Lee
Individual
Corporate Director
Director
Jul 1, 2022
Jessalyn Toldo Sabin
Individual
Corporate Director
Director
Jan 1, 2019
Brian Amdahl
Individual
Corporate Director
Director
Feb 1, 2020
Dawn Marie Ksepka
Individual
Corporate Director
Board of Director
Apr 1, 2023
Lauren Elisabeth Tomlinson
Individual
Corporate Director
Board of Director
Jan 1, 2025
Jacquline Francis Prescott
Individual
Corporate Director
Board of Director
Apr 24, 2024
Hannah Nicole-Casey Forti
Individual
Corporate Director
Director
Feb 1, 2020
Jean a Macdonell
Individual
Corporate Officer
Coo
Jan 1, 2021
W-2 Managing Employee
President
Jan 1, 2021
Jennifer Lynn Ryan
Individual
Corporate Director Jan 1, 2026
Gregory George Schoen
Individual
Corporate Director
Board of Director
Jan 1, 2024
Jordan Edward Kaczor
Individual
Corporate Director Jan 1, 2025
Jeoff Thomas Will
Individual
Corporate Director
Board of Director
Jan 1, 2024
Victoria Anne Hagberg
Individual
Corporate Director
Vice-Chair
Jan 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081201000163 MN Part a Provider - Home Health Agency 8022920024 Practice locations: Hibbing, MN

National Provider Directory

Tax ID family
Mesabi Regional Med Ctr (7 organizations share this tax ID)
Part of
Mesabi Regional Med Ctr

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 327737 MN Yes

Addresses

Primary practice location

1101 E 37TH St
Ste 27
Hibbing, MN 55746-2925

Mailing address

750 E 34TH St
Hibbing, MN 55746-2341
Phone (218) 362-6657

Other identifiers

IdentifierTypeStateIssuer
110515OtherUCARE
182255100MedicaidMN
5900041OtherMEDICA
120026OtherFIRST PLAN
1006743OtherPREFERRED ONE
1685ACEOtherBLUE CROSS BLUE SHIELD

Other names

  • Healthline Homecare Doing business as
  • Range Regional Health Services Doing business as

Other providers in Hibbing, MN

All providers in Hibbing, MN · Home Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.