Active NPI
Evans Memorial Home for the Aged, Inc.
Doing business as Evans Memorial Home
- Skilled Nursing Facility
- Cresco, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 450329
- 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, 2026
- 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
- Brendon Kacher
- Title
- Board President
- Phone
- (563) 419-2793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801209 | Medicaid | IA |
Other names 2
- Evans Memorial Home
- Evans Senior Living Community
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jul 1, 2003
- Medicare certification status
- Active
- Certified beds
- 43
- Chain
- Edgewood Convalescent Home
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 |
|---|---|---|---|
| 16D0677267 | Evans Senior Living Community | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Cresco Assisted Living
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cresco Assisted Living
- Assisted Living Facility
- Cresco, IA
- NPI 1407073893
-
- Skilled Nursing Facility
- Cresco, IA
- NPI 1780801175
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rachel Bowser | Operational/Managerial Control | Jun 16, 2026 | |
| Adp of the SNF | Jun 16, 2026 | ||
| Austin Hrdlicka | Corporate Officer | Apr 23, 2025 | |
| Kathy Rice | Corporate Officer | Apr 22, 2026 | |
| Corporate Director | Jul 24, 2024 | ||
| Adp of the SNF | Feb 28, 2025 | ||
| Bryan J. Sheehy | Corporate Director | Apr 23, 2025 | |
| Matthew Brace | Corporate Director | Apr 24, 2024 | |
| Jon David Maher | Operational/Managerial Control | Jul 1, 2016 | |
| Adp of the SNF | Jul 1, 2016 | ||
| Tiffany Putnam | Operational/Managerial Control | Feb 18, 2024 | |
| Adp of the SNF | Feb 18, 2024 | ||
| Heidi Rice | Corporate Officer | Apr 24, 2024 | |
| Corporate Director | Apr 12, 2021 | ||
| Marti Ferrie | Corporate Director | Apr 22, 2026 | |
| Susan Easler | Corporate Director | Aug 28, 2024 | |
| Brendon Kacher | Corporate Officer | Apr 23, 2025 | |
| Corporate Director | Mar 1, 2021 | ||
| Aaron Hvitved | Corporate Director | 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.
-
- Family Medicine Physician
- Cresco, IA
- NPI 1598769945
Adp of the SNF, Operational/Managerial Control
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
- Cresco Chiropractic Clinic PC
- Cresco Family Dentistry, P.C.
- Cresco Family Optometry LLC
- Diego German Cuevas, RPH
- Jessica Dutka, ARNP
- Evans Memorial Home for the Aged, Inc. (Cresco Assisted Living)
- Evans Memorial Home for the Aged, Inc.
- Carrie Kay Evans, ARNP
- Eye Care Associates of Cresco PLLC
- Donald W Foley, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.