Active NPI
Opco Grundy Center, Ia, LLC
- Skilled Nursing Facility
- Grundy Center, IA
National Provider Identifier
1093544033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OPCO GRUNDY CENTER, IA, LLC
- Practice address
- 102 E J Ave
Grundy Center, IA 50638-2031 - Phone
- (319) 824-5436
- NPI assigned
- Jul 29, 2024
- 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
- Isaac Dole
- Title
- Manager of the LLC
- Phone
- (872) 282-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
102 E J Ave
Grundy Center, IA 50638-2031
Mailing address
2045 W Grand Ave Ste B-34572
Chicago, IL 60612-1576
Phone (872) 282-8001
Other names 1
- Grundy Care 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 |
|---|---|---|---|---|
| O20250715003698 | IA | Part A Provider - Skilled Nursing Facility | 9537683859 | Practice locations: Grundy Center, IA |
Skilled nursing facility certification: CCN 165241
- Legal name
- OPCO GRUNDY CENTER IA LLC
- Doing business as
- GRUNDY CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1994
- Last certification
- Nov 7, 2024
- Beds
- 40
- Ownership / control type
- Corporation
- Multi-facility organization
- Campbell Street Senior Living
- Organization structure
- LLC
- Enrollment address
- 102 E J Ave
Grundy Center, IA 50638-2031 - Nursing home name
- GRUNDY CARE CENTER
- Affiliated entity
- CAMPBELL STREET SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Grundy Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1994
- Medicare certification status
- Active
- Certified beds
- 40
- Chain
- Campbell Street Services
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Isaac S Dole | Operational/Managerial Control | Feb 1, 2025 | |
| Managing Control - Governing Body | Feb 1, 2025 | ||
| Indirect Ownership Interest | Feb 1, 2025 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1093544033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 W GRAND AVE STE B-34572",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121576",
"telephone_number": "872-282-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E J AVE",
"city": "GRUNDY CENTER",
"state": "IA",
"postal_code": "506382031",
"telephone_number": "319-824-5436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPCO GRUNDY CENTER, IA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-29",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "DOLE",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "MANAGER OF THE LLC",
"authorized_official_telephone_number": "872-282-8001"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grundy Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grundy Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.