Organization Active NPI

Evans Memorial Home for the Aged, Inc.

Doing business as Evans Memorial Home

  • Skilled Nursing Facility
  • Cresco, IA
National Provider Identifier
1093708141
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
450329 Issued in IA
Legal business name
EVANS MEMORIAL HOME FOR THE AGED, INC.
Doing business as
Evans Memorial Home
Evans Senior Living Community
Practice address
1010 N Elm St
Cresco, IA 52136-1083
Phone
(563) 547-2364
Fax
(563) 547-5013
NPI assigned
Aug 24, 2005
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Brendon Kacher
Title
Board President
Phone
(563) 419-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 450329 IA Primary

Addresses

Primary practice location

1010 N Elm St
Cresco, IA 52136-1083

Mailing address

1010 N Elm St
Cresco, IA 52136-1083
Phone (563) 547-2364

Other identifiers 1

IdentifierTypeStateIssuer
0801209MedicaidIA

Other names 2

  • Evans Memorial Home Doing business as
  • Evans Senior Living Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030519000036 IA Part A Provider - Skilled Nursing Facility 7315857836 Practice locations: Cresco, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093708141. Details of each certification follow.

Skilled nursing facility certification: CCN 165491

Legal name
EVANS MEMORIAL HOME FOR THE AGED, INC.
Doing business as
EVANS SENIOR LIVING COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 2003
Last certification
Sep 19, 2024
Beds
43
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
1010 N Elm St
Cresco, IA 52136-1083
Nursing home name
EVANS SENIOR LIVING COMMUNITY
Affiliated entity
EDGEWOOD CONVALESCENT HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evans Senior Living CommunityCCN 165491 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jul 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4333.1 residents per day on average
Chain
Edgewood Convalescent Home5 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
16D0677267Evans Senior Living Community1010 North Elm Street, Cresco, IA 52136Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cresco Assisted Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1010 N Elm St
Cresco, IA 52136
Phone (563) 547-2364

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Rachel Bowser Individual Operational/Managerial Control Jun 16, 2026
Adp of the SNF Jun 16, 2026
Austin Hrdlicka Individual Corporate OfficerVice President Apr 23, 2025
Kathy Rice Individual Corporate OfficerTreasurer Apr 22, 2026
Corporate DirectorBoard Member Jul 24, 2024
Organization, Cedar Rapids, IA Corporation, Consulting firm, For-profit Adp of the SNF Feb 28, 2025
Bryan J. Sheehy Individual Corporate DirectorBoard Member Apr 23, 2025
Matthew Brace Individual Corporate DirectorBoard Member Apr 24, 2024
Jon David Maher Individual Operational/Managerial Control Jul 1, 2016
Adp of the SNF Jul 1, 2016
Tiffany Putnam Individual Operational/Managerial Control Feb 18, 2024
Adp of the SNF Feb 18, 2024
Heidi Rice Individual Corporate OfficerSecretary Apr 24, 2024
Corporate DirectorBoard Member Apr 12, 2021
Marti Ferrie Individual Corporate DirectorBoard Member Apr 22, 2026
Susan Easler Individual Corporate DirectorBoard Member Aug 28, 2024
Brendon Kacher Individual Corporate OfficerPresident Apr 23, 2025
Corporate DirectorBoard Member Mar 1, 2021
Aaron Hvitved Individual Corporate DirectorBoard Member Apr 22, 2026

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1093708141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N ELM ST",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361083",
            "telephone_number": "563-547-2364",
            "fax_number": "563-547-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N ELM ST",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361083",
            "telephone_number": "563-547-2364",
            "fax_number": "563-547-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS MEMORIAL HOME FOR THE AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "KACHER",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "563-419-2793"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "450329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801209",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Memorial Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evans Memorial Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evans Senior Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cresco, IA

Sources for this page

Verify at the official NPI Registry.