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VILLA ST. VINCENT
NPI 1215932728
Assisted Living Facility in Crookston, MN

Active since June 21, 2005CLIA 24D0701604 · Waiver
2/5
Overall Rating
516 WALSH ST, CROOKSTON, MN 56716(218) 281-3424(218) 281-4755 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Villa St. Vincent NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLA ST. VINCENT (NPI 1215932728) is a healthcare organization registered as an assisted living facility in Crookston, Minnesota and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Judy Hulst, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1215932728
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVILLA ST. VINCENT
Location Address516 WALSH STCrookston, MN 56716
Mailing Address516 Walsh StCrookston, MN 56716 · (218) 281-3424 · Fax (218) 281-4755
Phone(218) 281-3424
Fax(218) 281-4755
Organization SubpartNo
Authorized OfficialJudy HulstCeo/administrator · (218) 281-9700
Enumeration DateJune 21, 2005
Last NPPES UpdateOctober 23, 2013
✔ NPI 1215932728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses✔ Licensed in MN · 325662✔ Licensed in MN · 353890
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 328575 (MN), 352789 (MN)
516 WALSH ST, Crookston, MN 56716
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified245484MN · Medicare Provider Number
Medicare UPIN1215932728
Other8756VIMN · Blue Cross Insurance
Medicaid177240600MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0701604

Villa St Vincent · Crookston, MN
Active · expires Aug 31, 2028
CLIA Number24D0701604
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorLavonne Merten
Laboratory Phone(218) 281-3424
Laboratory LocationVilla St Vincent516 Walsh St, Crookston, MN 56716
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Villa St Vincent (CMS certification number 245484), from CMS Care Compare.

Villa St Vincent

Nursing home · Crookston, MN
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number245484
Certified Beds100 beds93 residents per day on average
Medicare & Medicaid Participant SinceJune 1, 1987
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
54.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.54 · LPN 0.68 · RN 0.68
3.9 hrs per resident per day
Weekend Nurse Staffing
3.4 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
54.8%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
16
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLYN ANN MICHNO DPT
Physical Therapist
516 WALSH ST
CROOKSTON, MN 56716
Polk County (218) 281-9705
JENNIFER CHRISTINE TULL MPT
Physical Therapist
516 WALSH ST
CROOKSTON, MN 56716
Polk County (218) 281-9705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Villa St. Vincent's NPI number?

The NPI number for Villa St. Vincent is 1215932728. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Villa St. Vincent located?

Villa St. Vincent is located at 516 Walsh St, Crookston, MN 56716. The listed phone number is (218) 281-3424.

What is Villa St. Vincent's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Villa St. Vincent hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0701604) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Villa St. Vincent a Medicare-certified nursing home?

Yes. Villa St Vincent is a Medicare-certified nursing home with 100 certified beds.

What quality rating does Villa St. Vincent have?

CMS rates Villa St Vincent 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Villa St. Vincent accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Villa St. Vincent as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Villa St. Vincent was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.