THE GREEN PRAIRIE REHABILITATION CENTER LLC – Skilled Nursing Facility, NPI 1659728186

THE GREEN PRAIRIE REHABILITATION CENTER LLC is a healthcare provider. based in Mankato, Minnesota. specializing in Skilled Nursing Facility. The NPI Number for THE GREEN PRAIRIE REHABILITATION CENTER LLC is 1659728186

Main info

Organization
Name
THE GREEN PRAIRIE REHABILITATION CENTER LLC
NPI
1659728186
Phone
Not provided
Address
638 SOUTHBEND AVE
Authorized Official
JOSH LEGUM MEMBER
Enumeration Date
13 May 2016
Last Update Date
13 May 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

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Provider Addresses for THE GREEN PRAIRIE REHABILITATION CENTER LLC

  • 638 SOUTHBEND AVE

    MANKATO, MN 560012168

    Phone:

    Type: Mailing

  • 810, 2nd Avenue Northwest, Plainview, Wabasha County, Minnesota, 55964, United States

    PLAINVIEW, MN 559641090

    Phone: (507) 534-4204

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20160518001911OSkilled Nursing FacilityMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

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Reviews

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Frequently asked questions

How is THE GREEN PRAIRIE REHABILITATION CENTER LLC identified in CMS data?
CMS-hosted NPPES data lists THE GREEN PRAIRIE REHABILITATION CENTER LLC with NPI 1659728186.
Can I rely on THE GREEN PRAIRIE REHABILITATION CENTER LLC being an active provider?
As of the registry snapshot, THE GREEN PRAIRIE REHABILITATION CENTER LLC is marked active.
What is THE GREEN PRAIRIE REHABILITATION CENTER LLC best known for clinically?
Directory data describes THE GREEN PRAIRIE REHABILITATION CENTER LLC with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What area does THE GREEN PRAIRIE REHABILITATION CENTER LLC serve?
THE GREEN PRAIRIE REHABILITATION CENTER LLC's listing highlights Mankato, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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