THE GREEN PRAIRIE REHABILITATION CENTER LLC
NPI 1659728186
Skilled Nursing Facility in Plainview, MN

Active since May 13, 2016CLIA 24D0404565 · Waiver
810 2ND AVE NW, PLAINVIEW, MN 55964(507) 534-4204 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Green Prairie Rehabilitation Center Llc NPPES

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

THE GREEN PRAIRIE REHABILITATION CENTER LLC (NPI 1659728186) is a healthcare organization registered as a skilled nursing facility in Plainview, Minnesota and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Josh Legum, Member, as its authorized official.

NPPES Registry Identity

NPI1659728186
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE GREEN PRAIRIE REHABILITATION CENTER LLC
Location Address810 2ND AVE NWPlainview, MN 55964-1090
Mailing Address638 Southbend AveMankato, MN 56001-2168
Organization SubpartNo
Authorized OfficialJosh LegumMember · (507) 625-8741
Enumeration DateMay 13, 2016
NPI 1659728186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

810 2ND AVE NW, Plainview, MN 55964

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 24D0404565

The Green Prairie Rehabilitation Center · Plainview, MN
Active · expires Jun 1, 2027
CLIA Number24D0404565
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorRebecca A. Huckleberry
Laboratory Phone(507) 534-3191
Laboratory LocationThe Green Prairie Rehabilitation Center800 Second Avenue Northwest, Plainview, MN 55964
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
810 2ND AVE NW
PLAINVIEW, MN 55964

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659728186, enumerated as an "organization" on May 13, 2016.

The provider is located at 810 2ND AVE NW PLAINVIEW, MN 55964 and the phone number is (507) 534-4204.

Skilled Nursing Facility with taxonomy code 314000000X.