Organization Active NPI

Care Initiatives

  • Skilled Nursing Facility
  • Waterloo, IA
National Provider Identifier
1063484780
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
070582 Issued in IA
Legal business name
CARE INITIATIVES
Practice address
2001 Heath Street
Waterloo, IA 50703-1214
Phone
(319) 234-4423
Fax
(319) 234-0182
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
David Dixon
Title
Cfo/SVP
Phone
(515) 224-4442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 070582 IA Primary

Addresses

Primary practice location

2001 Heath Street
Waterloo, IA 50703-1214

Mailing address

1611 West Lakes Parkway
West Des Moines, IA 50266-8212
Phone (515) 224-4442

Other identifiers 1

IdentifierTypeStateIssuer
0808261MedicaidIA

Other names 1

  • Northcrest Specialty Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000571 IA Part A Provider - Skilled Nursing Facility 3870575350 Practice locations: Waterloo, IA

Skilled nursing facility certification: CCN 165165

Legal name
CARE INITIATIVES
Doing business as
NORTHCREST SPECIALTY CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1992
Last certification
Jan 30, 2025
Beds
94
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Care Initiatives
Organization structure
CorporationNon-profit
Enrollment address
2001 Heath St
Waterloo, IA 50703-1214
Nursing home name
NORTHCREST SPECIALTY CARE
Affiliated entity
CARE INITIATIVES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northcrest Specialty CareCCN 165165
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9486.2 residents per day on average
Chain
Care Initiatives43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0694617Northcrest Specialty Care2001 Heath Street, Waterloo, IA 50703Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Kevin Childs Individual Corporate DirectorBoard Member Apr 1, 2023
Peter D Corless Individual Corporate DirectorBoard Member Jan 1, 2025
Organization, Milford, IA Medical staffing company Adp of the SNF Aug 5, 2025
Linda L Upmeyer Individual Corporate DirectorBoard Member Jan 1, 2022
Emily Drake Individual Corporate OfficerVP/Chief Legal Officer Jan 4, 2023
Organization, Des Moines, IA Consulting firm Adp of the SNF Aug 5, 2025
Jeramy D Kuhn Individual Corporate OfficerCorporate Compliance Officer Jun 25, 2008
Johanna Volm Individual Corporate OfficerVP of Clinical Services Jan 1, 2021
Keith K Krein Individual Corporate DirectorBoard Member Jan 1, 2022
Computershare Corporate Trust Company, NA Organization, Saint Paul, MN Investment firm 5% Or Greater Mortgage Interest Jan 1, 2025 16.19%
Adp of the SNF Aug 5, 2025
Russell Adams Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Aug 5, 2025
Jesse Bode Individual Operational/Managerial Control Dec 18, 2023
Adp of the SNF Aug 5, 2025
Care Initiatives Organization, West Des Moines, IA Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Aug 1, 2012 100%
Charissa J Baedke Individual Operational/Managerial Control Jan 1, 2024
Mary Jane Carothers Individual Corporate DirectorBoard Member Jan 1, 2023
Individual Adp of the SNF Jan 1, 2024
Denise D Sturm Individual Corporate DirectorBoard Member Jan 1, 2021
Elizabeth Rust Individual Corporate DirectorBoard Member Jan 1, 2023
Individual Adp of the SNF Jan 1, 2024
Jessica McDyer Individual Corporate OfficerVice President of Skilled Nursing Feb 22, 2023
Organization, Urbandale, IA Medical provider/supplier Adp of the SNF Aug 5, 2025
Michael W Beal Individual Corporate OfficerPresident/Ceo Jun 1, 2020
Corporate DirectorBoard Member Jun 1, 2020
Organization, Austin, TX Medical provider/supplier Adp of the SNF Aug 5, 2025
Tanya Gilyard Individual Corporate OfficerVP of Business Development May 23, 2025
Organization, Billings, MT Financial institution Adp of the SNF Aug 5, 2025
Lane Morrell Bowen Individual Corporate DirectorBoard Member Jan 1, 2021
David B Dixon Individual Corporate OfficerVP/Cfo Jun 1, 2016

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 44

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

FacilityTypeRoleSince
Atlantic Specialty CareAtlantic, IA, CCN 165288 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Fonda Specialty CareFonda, IA, CCN 165312 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Westwood Specialty CareSioux City, IA, CCN 165271 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Care InitiativesKnoxville, IA, CCN 165308 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Crestview Specialty CareWest Branch, IA, CCN 165287 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Bedford Specialty CareBedford, IA, CCN 165292 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Northern Mahaska Specialty CareOskaloosa, IA, CCN 165274 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
State Center Specialty CareState Center, IA, CCN 165390 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
Dunlap Specialty CareDunlap, IA, CCN 165193 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Montezuma Specialty CareMontezuma, IA, CCN 165295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
Lantern Park Specialty CareCoralville, IA, CCN 165214 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Southridge Specialty CareMarshalltown, IA, CCN 165209 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Panora Specialty CarePanora, IA, CCN 165253 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Mechanicsville Specialty CareMechanicsville, IA, CCN 165263 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Pinnacle Specialty CareCedar Falls, IA, CCN 165298 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Ravenwood Specialty CareWaterloo, IA, CCN 165251 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Dubuque Specialty CareDubuque, IA, CCN 165228 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Heritage Specialty CareCedar Rapids, IA, CCN 165310 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
New London Specialty CareNew London, IA, CCN 165404 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Southern Hills Specialty CareOsceola, IA, CCN 165293 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Chariton Specialty CareChariton, IA, CCN 165305 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Eldora Specialty CareEldora, IA, CCN 165316 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Stratford Specialty CareStratford, IA, CCN 165270 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Kingsley Specialty CareKingsley, IA, CCN 165329 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Centerville Specialty CareCenterville, IA, CCN 165225 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Manly Specialty CareManly, IA, CCN 165226 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Wapello Specialty CareWapello, IA, CCN 165452 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Correctionville Specialty CareCorrectionville, IA, CCN 165323 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Belle Plaine Specialty CareBelle Plaine, IA, CCN 165349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Cherokee Specialty CareCherokee, IA, CCN 165330 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Corning Specialty CareCorning, IA, CCN 165285 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Oakwood Specialty CareAlbia, IA, CCN 165313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Lamoni Specialty CareLamoni, IA, CCN 165314 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Parkridge Specialty CarePleasant Hill, IA, CCN 165345 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Avoca Specialty CareAvoca, IA, CCN 165294 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Lyon Specialty CareRock Rapids, IA, CCN 165215 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Laporte City Specialty CareLa Porte City, IA, CCN 165300 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Ridgewood Specialty CareOttumwa, IA, CCN 165223 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Corydon Specialty CareCorydon, IA, CCN 165222 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Nov 12, 2010
Sep 29, 1998
Sibley Specialty CareSibley, IA, CCN 165401 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Creston Specialty CareCreston, IA, CCN 165199 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Odebolt Specialty CareOdebolt, IA, CCN 165180 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Care Initatives Hospice GreenfieldGreenfield, IA, CCN 161595 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 4, 2014
Care Initiatives Hospice - OmahaOmaha, NE, CCN 281561 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 3, 2022

Facilities with the same owner 44

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

View all 44

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": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1063484780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WEST LAKES PARKWAY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668212",
            "telephone_number": "515-224-4442",
            "fax_number": "515-224-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HEATH STREET",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031214",
            "telephone_number": "319-234-4423",
            "fax_number": "319-234-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO/SVP",
        "authorized_official_telephone_number": "515-224-4442"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "070582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0808261",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northcrest Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northcrest Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.