Active NPI
Community Memorial Healthcenter Association
Doing business as Community Memorial Health Center
- Skilled Nursing Facility
- Hartley, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 710779
- Legal business name
- COMMUNITY MEMORIAL HEALTHCENTER ASSOCIATION
- Doing business as
- Community Memorial Health Center
- Practice address
- 231 N 8TH Ave W
Hartley, IA 51346-1077 - Phone
- (712) 728-2428
- Fax
- (712) 728-2429
- NPI assigned
- Aug 28, 2006
- Last updated
- Dec 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark G Schulz
- Title
- President
- Phone
- (712) 728-2428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 710779 | IA | Primary |
Addresses
Primary practice location
231 N 8TH Ave W
Hartley, IA 51346-1077
Mailing address
231 N 8TH Ave W
Hartley, IA 51346-1077
Phone (712) 728-2428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801803 | Medicaid | IA |
Other names 1
- COMMUNITY MEMORIAL HEALTH CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050901000692 | IA | Part A Provider - Skilled Nursing Facility | 5799717476 | Practice locations: Hartley, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013025386. Details of each certification follow.
Skilled nursing facility certification: CCN 165177
- Legal name
- COMMUNITY MEMORIAL HEALTHCENTER ASSOCIATION
- Doing business as
- COMMUNITY MEMORIAL HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1992
- Last certification
- Nov 7, 2024
- Beds
- 62
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation
- Enrollment address
- 231 N 8TH Ave W
Hartley, IA 51346-1077 - Nursing home name
- COMMUNITY MEMORIAL HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Community Memorial Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Dec 1, 1992
- Medicare certification status
- Active
- Certified beds
- 62
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Community Memorial Health Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Hartley Senior Wellness Center
- Custodial Care Facility
- Hartley, IA
- NPI 1760524763
-
dba Community Memorial Assisted Living
- Assisted Living Facility
- Hartley, IA
- NPI 1952443954
Ownership & related parties
All disclosed owners & managing parties 56
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Coppage LTC Pharmacy Consulting PLC | Adp of the SNF | Jul 20, 2022 | |
| Mark Riedemann | Corporate Officer | Mar 1, 2019 | |
| Joyce Tewes | Corporate Officer | Mar 1, 2022 | |
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Steven Ziller | Operational/Managerial Control | Apr 25, 2022 | |
| Adp of the SNF | Sep 25, 2025 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Colleen Ann Paulsen | Corporate Officer | Mar 1, 2020 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Blue Stone Therapy Inc | Adp of the SNF | Jun 30, 2023 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Curt Stoltz | Corporate Officer | Mar 1, 2020 | |
| Kerrie Morey | Operational/Managerial Control | Feb 28, 2021 | |
| Adp of the SNF | Dec 31, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Jul 23, 2012 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Rdi Computer Networking | Adp of the SNF | Dec 31, 2024 | |
| Kristy Mills | Corporate Director | Jan 26, 2023 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Dec 21, 2021 | ||
| Cattail Inc | Adp of the SNF | Oct 1, 2024 | |
| BCG Holdings Inc | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Iowa Health Care Association | Adp of the SNF | Oct 1, 2024 | |
| Laverne Van Loon | Corporate Director | Jul 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Laura Wallace | Operational/Managerial Control | May 8, 2024 | |
| Daryl Krikke | Operational/Managerial Control | Jan 21, 2016 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Ecsi Inc | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Linda Carstensen | Operational/Managerial Control | Feb 25, 2013 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Jul 23, 2012 | ||
| Adp of the SNF | Jul 23, 2012 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| K F Murphy Co PC | Adp of the SNF | Jul 23, 2012 | |
| Colleen M Wurm King | Adp of the SNF | Oct 31, 2019 | |
| Amy C Jochims | Operational/Managerial Control | Sep 1, 2022 | |
| Adp of the SNF | Sep 25, 2025 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Sandra Zearing | Operational/Managerial Control | Jul 6, 2022 | |
| Cattail BCG LLC | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Jill Vander Veen | Corporate Director | Jan 26, 2023 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Brighton Consulting Group LLC | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
Adp of the SNF
-
- Family Medicine Physician
- Spencer, IA
- NPI 1013328483
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324512000000",
"number": "1013025386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 N 8TH AVE W",
"city": "HARTLEY",
"state": "IA",
"postal_code": "513461077",
"telephone_number": "712-728-2428",
"fax_number": "712-728-2429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 N 8TH AVE W",
"city": "HARTLEY",
"state": "IA",
"postal_code": "513461077",
"telephone_number": "712-728-2428",
"fax_number": "712-728-2429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEMORIAL HEALTHCENTER ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2011-12-22",
"status": "A",
"authorized_official_last_name": "SCHULZ",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-728-2428"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "710779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0801803",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COMMUNITY MEMORIAL HEALTH CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hartley, IA
- Baum Harmon Mercy Hospital (MercyOne Hartley Family Medicine)
- City of Hartley
- Community Memorial Health Center (Hartley Senior Wellness Center)
- Community Memorial Health Center (Community Memorial Assisted Living)
- Elizabeth Todd, Cleaning and Consulting
- Gary C Van Hofwegen DDS PC (VanHofwegen Family Dentistry)
- Hartley Chiropractic Clinic Inc
- Hartley-Melvin-Sanborn C.S.D.
- Grace Lynn Heikens
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.