NPIMap

Organization Active NPI

On With Life, Inc.

  • Skilled Nursing Facility
  • Ankeny, IA
National Provider Identifier
1043375769
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
770700 Issued in IA
Legal business name
ON WITH LIFE, INC.
Practice address
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone
(515) 965-1339
Fax
(515) 965-1186
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Luft-Wiskus
Title
Office Manager
Phone
(515) 289-9703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 770700 IA Primary

Addresses

Primary practice location

715 SW Ankeny Rd
Ankeny, IA 50023-9798

Mailing address

715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone (515) 289-9658

Other identifiers 4

IdentifierTypeStateIssuer
65163OtherIABLUE CROSS BLUE SHIELD
100249MedicaidNE
7100081OtherIAUNITED HEALTH CARE
0651638MedicaidIA

Other names 1

  • On With Life at Ankeny Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111019000356 IA Part A Provider - Skilled Nursing Facility 4385553965 Practice locations: Ankeny, IA

Skilled nursing facility certification: CCN 165163

Legal name
ON WITH LIFE INC
Doing business as
ON WITH LIFE AT ANKENY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 20, 1991
Last certification
Oct 10, 2024
Beds
28
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
May 22, 1987 in IA
Enrollment address
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Nursing home name
ON WITH LIFE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
On With LifeCCN 165163
Overall star rating
4 of 5
Health inspections
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 20, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2824.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
On With Life Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeanette a Shelton Individual Corporate Director Nov 1, 2017 100%
W-2 Managing Employee Nov 1, 2017 100%
Operational/Managerial Control Nov 1, 2017 100%
Patrick M Stilwill Individual W-2 Managing Employee Jul 21, 2006
Operational/Managerial Control Jul 21, 2006
On With Life Inc Organization, Ankeny, IA Non-profit Operational/Managerial Control May 22, 1987
Jim Foreman Individual Corporate OfficerCfo Mar 31, 2014
W-2 Managing EmployeeCfo Mar 31, 2014
Operational/Managerial ControlCfo Mar 31, 2014

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
On With Life Long Term CarePolk City, IA, CCN 165281 Skilled nursing facility Operational/Managerial Control Jul 1, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1043375769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239798",
            "telephone_number": "515-289-9658",
            "fax_number": "515-965-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239798",
            "telephone_number": "515-965-1339",
            "fax_number": "515-965-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON WITH LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-04-11",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "LUFT-WISKUS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-289-9703"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "770700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65163",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "7100081",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0651638",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On With Life at Ankeny",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.