Organization Active NPI

Opco Grundy Center, Ia, LLC

  • Skilled Nursing Facility
  • Grundy Center, IA
National Provider Identifier
1093544033
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on May 28, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 165241
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4030.7 residents per day on average
Chain
Campbell Street Services22 facilities in the chain
Penalties (3 years)
1Fines totaling $48,796

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Isaac S Dole Individual Operational/Managerial Control Feb 1, 2025
Managing Control - Governing BodyManager 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

Verify at the official NPI Registry.