City of Ulen & Municipal Liquor Store & Viking Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

331816 Issued in MN

Legal business name

CITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR

Practice address

317 1St St NW
Ulen, MN 56585

Phone

(218) 596-8847

Fax

(218) 596-8894

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Todd M Kjos

Title

Administrator

Phone

(218) 596-8847

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Skilled nursing facility certification: CCN 245559

Legal name

CITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR

Doing business as

VIKING MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1991

Last certification

Mar 20, 2024

Beds

45

Ownership / control type

City

Organization structure

GovernmentNon-profit

Enrollment address

317 1St St NW
Ulen, MN 56585-4010

Nursing home name

VIKING MANOR NURSING HOME

Listed as

Viking Manor Nursing HomeCCN 245559

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - City

Certified

Jun 1, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4541.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

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

• Timothy J Luithle, MD

  • Family Medicine Physician
  • Hillsboro, ND
  • NPI 1578581146

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Timothy J Luithle, MD

  • Family Medicine Physician
  • Hillsboro, ND
  • NPI 1578581146
  NPD (past)

Affiliated clinicians 1

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

• Timothy J Luithle, MD

  • Family Medicine Physician
  • Hillsboro, ND
  • NPI 1578581146

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1992861827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 1ST STREET NW",
            "city": "ULEN",
            "state": "MN",
            "postal_code": "56585",
            "telephone_number": "218-596-8847",
            "fax_number": "218-596-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 1ST ST NW",
            "city": "ULEN",
            "state": "MN",
            "postal_code": "56585",
            "telephone_number": "218-596-8847",
            "fax_number": "218-596-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "KJOS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-596-8847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4699VI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "7122755",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734040100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Danuser
• Dean A Gross, NP
• Independent School Dist No 914
• Sanford Medical Center Fargo
• Karen M Schultz, M.S., CCC-SLP

• Skilled Nursing Facility in Ulen, MN
• Providers in Ulen, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.

Verify at the official NPI Registry.