Active NPI
Mount Vernon Ia Skilled Nursing Facility, LLC
- Skilled Nursing Facility
- Mount Vernon, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MOUNT VERNON IA SKILLED NURSING FACILITY, LLC
- Practice address
- 215 Highway 30 SW
Mount Vernon, IA 52314-1561 - Phone
- (319) 895-8891
- NPI assigned
- Nov 22, 2023
- Last updated
- Nov 22, 2023
- 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
- Chaim Rajchenbach
- Title
- Principal
- Phone
- (847) 745-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
215 Highway 30 SW
Mount Vernon, IA 52314-1561
Mailing address
215 Highway 30 SW
Mount Vernon, IA 52314-1561
Phone (319) 895-8891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240924000419 | IA | Part A Provider - Skilled Nursing Facility | 9436690054 | Practice locations: Mount Vernon, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1073388757. Details of each certification follow.
Skilled nursing facility certification: CCN 165333
- Legal name
- MOUNT VERNON IA SKILLED NURSING FACILITY LLC
- Doing business as
- HALLMARK CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1997
- Last certification
- Mar 20, 2025
- Beds
- 55
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Legacy Healthcare
- Organization structure
- LLC
- Enrollment address
- 215 Business 30 SW
Mount Vernon, IA 52314-1519 - Nursing home name
- HALLMARK CARE CENTER
- Affiliated entity
- LEGACY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hallmark Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1997
- Medicare certification status
- Active
- Certified beds
- 55
- Chain
- Legacy Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0675670 | Hallmark Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Mount Vernon Ia Skilled Nursing Facility LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Mount Vernon, IA
- NPI 1184499824
Locations
215 Business 30 SW
Mount Vernon, IA 52314
Phone (319) 895-8891
Ownership & related parties
All disclosed owners & managing parties 44
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 |
|---|---|---|---|
| Amy Wright | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Sandra Staudt | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Mindy Houston | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Larina Heying | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Clayton T Schuett | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Gorgona Sub Holdco LLC | Adp of the SNF | May 6, 2025 | |
| Jenny Borcherding | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Joshua Seu | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Brian Friedman | Trustee of the SNF | Aug 15, 2024 | |
| Jennifer Hedberg | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Laura Friedenberg | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Iowa Portfolio Opco Holdings LLC | Direct Ownership Interest | Aug 15, 2024 | 100% |
| Menachem Shabat | Operational/Managerial Control | Aug 15, 2024 | |
| Managing Control - Governing Body | Aug 15, 2024 | ||
| Adp of the SNF | Aug 15, 2024 | ||
| Patricia Otterbeck | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| MN8 RH Holdco LLC | Adp of the SNF | Aug 15, 2024 | |
| Rivka Rajchenbach | Trustee of the SNF | Aug 15, 2024 | |
| Melissa Larson | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Chaim Rajchenbach | Operational/Managerial Control | Aug 15, 2024 | |
| Managing Control - Governing Body | Aug 28, 2012 | ||
| Adp of the SNF | Aug 15, 2024 | ||
| Cascade Capital Holdings LLC | Adp of the SNF | May 6, 2025 | |
| Elizabeth Van Veghel | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Mount Vernon Ia Property Holdings LLC | Adp of the SNF | May 6, 2025 | |
| Jessica Vanderploeg | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Karla Beasley | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| GPN Family Trust U/a/D 4/28/08 | Indirect Ownership Interest | Aug 15, 2024 | 45.5% |
| Bobbie Wierschem | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Kiley Shear | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Oakway Operations LLC | Indirect Ownership Interest | Aug 15, 2024 | 22.5% |
| Cascade Capital Partners LLC | Adp of the SNF | May 6, 2025 | |
| Dorothy McClure | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Avrum Rajchenbach | Trustee of the SNF | Aug 15, 2024 | |
| Rosemary Wood | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Doros Generation Trust U/a/D 1/3/12 | Indirect Ownership Interest | Aug 15, 2024 | 5% |
| Linsey Behounek | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Kathleen Scott | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| CCG Gorgona LLC | Adp of the SNF | May 6, 2025 | |
| Abigail Whalen | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Sheri Burken | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Gorgona Propco Holdings LLC | Adp of the SNF | May 6, 2025 | |
| Christina Hennager | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Ahuva Shabat | Trustee of the SNF | Aug 15, 2024 | |
| Michele Knutson | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Krystle Jaeger | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 15, 2024 | ||
| Gorgona Holdco LLC | Adp of the SNF | May 6, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Mount Vernon, IA
- NPI 1629056163
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 68
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Allison, IA
- NPI 1538934229
Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Aplington, IA
- NPI 1326813015
Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Armstrong, IA
- NPI 1316712011
Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Battle Creek, IA
- NPI 1487429189
Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Belmond, IA
- NPI 1982479671
Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Bloomfield, IA
- NPI 1093580821
Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Britt, IA
- NPI 1851166557
Legacy Healthcare Financial Services LLC
-
dba Harmony Cedar Rapids
- Skilled Nursing Facility
- Cedar Rapids, IA
- NPI 1699489385
Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Clear Lake, IA
- NPI 1114792801
Legacy Healthcare Financial Services LLC
-
dba Harmony Davenport
- Skilled Nursing Facility
- Davenport, IA
- NPI 1780398842
Legacy Healthcare Financial Services LLC
-
dba Harmony West Des Moines
- Skilled Nursing Facility
- West Des Moines, IA
- NPI 1861106924
Legacy Healthcare Financial Services LLC
-
dba Harmony Dubuque
- Skilled Nursing Facility
- Dubuque, IA
- NPI 1104530286
Legacy Healthcare Financial Services LLC
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1700611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700611200000",
"number": "1073388757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HIGHWAY 30 SW",
"city": "MOUNT VERNON",
"state": "IA",
"postal_code": "523141561",
"telephone_number": "319-895-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HIGHWAY 30 SW",
"city": "MOUNT VERNON",
"state": "IA",
"postal_code": "523141561",
"telephone_number": "319-895-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT VERNON IA SKILLED NURSING FACILITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-22",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A",
"authorized_official_last_name": "RAJCHENBACH",
"authorized_official_first_name": "CHAIM",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "847-745-7000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.