THE WATERVIEW PINES LLC – Skilled Nursing Facility, NPI 1982269775

THE WATERVIEW PINES LLC is a healthcare provider. based in Mankato, Minnesota. specializing in Skilled Nursing Facility. The NPI Number for THE WATERVIEW PINES LLC is 1982269775

Main info

Organization
Name
THE WATERVIEW PINES LLC
NPI
1982269775
Phone
Not provided
Address
638 SOUTHBEND AVE
Authorized Official
JOSH LEGUM CEO
Enumeration Date
7 May 2019
Last Update Date
18 June 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for THE WATERVIEW PINES LLC

  • 638 SOUTHBEND AVE

    MANKATO, MN 560012168

    Phone:

    Type: Mailing

  • Saint Michael's Health & Rehabilitation Center, 1201, 8th Street South, Virginia, Saint Louis County, Minnesota, 55792, United States

    VIRGINIA, MN 557923349

    Phone: (218) 748-7800

    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: 2019-06-01

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
O20190601000026OSkilled 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 do payers reference THE WATERVIEW PINES LLC?
For THE WATERVIEW PINES LLC, use NPI 1982269775 as the unique 10-digit identifier.
Would THE WATERVIEW PINES LLC appear as active to a payer?
You can treat THE WATERVIEW PINES LLC as active for directory purposes; confirm clinical privileges separately.
How would a patient describe THE WATERVIEW PINES LLC's focus?
For THE WATERVIEW PINES LLC, the primary taxonomy reads as Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Is THE WATERVIEW PINES LLC associated with Mankato?
Public fields place THE WATERVIEW PINES LLC around Mankato, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for THE WATERVIEW PINES LLC is noted as May 7, 2019 where the registry provides it.

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