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THE WATERVIEW SHORES LLC
NPI 1750946539
Skilled Nursing Facility in Two Harbors, MN

Active since May 07, 2019CLIA 24D0673756 · Waiver
3/5
Overall Rating
402 13TH AVE, TWO HARBORS, MN 55616(218) 834-0849 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2019, May 7, 2019 (2 updates tracked since 2019).

About The Waterview Shores Llc NPPES

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

THE WATERVIEW SHORES LLC (NPI 1750946539) is a healthcare organization registered as a skilled nursing facility in Two Harbors, Minnesota and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Josh Legum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750946539
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE WATERVIEW SHORES LLC
Location Address402 13TH AVETwo Harbors, MN 55616-1267
Mailing Address638 Southbend AveMankato, MN 56001-2168
Phone(218) 834-0849
Organization SubpartNo
Authorized OfficialJosh LegumCeo · (507) 203-1001
Enumeration DateMay 7, 2019
Last NPPES UpdateJune 18, 20192 updates tracked since enumeration
✔ NPI 1750946539 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.
402 13TH AVE, Two Harbors, MN 55616
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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 24D0673756

The Waterview Shores · Two Harbors, MN
Active · expires Aug 31, 2026
CLIA Number24D0673756
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShelby Bauck
Laboratory Phone(218) 834-8374
Laboratory LocationThe Waterview Shores402 13th Ave, Two Harbors, MN 55616
CLIA data matches this NPI record on: Address Name
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 The Waterview Shores LLC (CMS certification number 245471), from CMS Care Compare.

The Waterview Shores LLC

Nursing home · Two Harbors, MN
3/5 CMS Overall Rating
OwnershipFor profit - Partnership
CMS Certification Number245471
Certified Beds44 beds36 residents per day on average
Medicare & Medicaid Participant SinceMay 1, 1987
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
44
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 1.63 · LPN 0.17 · RN 0.76
2.55 hrs per resident per day
Weekend Nurse Staffing
2.17 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60%
Registered Nurse Turnover
42.9%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
3
Fines
1 totaling $10,000.00
Medicare Payment Denials
0
Total Penalties
1
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 4

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

SARAH MEDINA COTA/L
Occupational Therapist
402 13TH AVE
TWO HARBORS, MN 55616
Lake County (218) 834-8374
NICOLE BOGENREIF PT, DPT
Physical Therapist
402 13TH AVE
TWO HARBORS, MN 55616
Lake County (218) 834-8374
ECUMEN
Skilled Nursing Facility
402 13TH AVE
TWO HARBORS, MN 55616
Lake County (218) 834-8374
ASHLEY ABBOTT MSOT, OTR/L
Occupational Therapist
402 13TH AVE
TWO HARBORS, MN 55616
Lake County (218) 834-0849

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 The Waterview Shores LLC's NPI number?

The NPI number for The Waterview Shores LLC is 1750946539. It was assigned to this organization in the NPPES registry on May 7, 2019.

Where is The Waterview Shores LLC located?

The Waterview Shores LLC is located at 402 13th Ave, Two Harbors, MN 55616. The listed phone number is (218) 834-0849.

What is The Waterview Shores LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does The Waterview Shores LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0673756) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is The Waterview Shores LLC a Medicare-certified nursing home?

Yes. The Waterview Shores LLC is a Medicare-certified nursing home with 44 certified beds.

What quality rating does The Waterview Shores LLC have?

CMS rates The Waterview Shores LLC 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for The Waterview Shores LLC was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.