Chautauqua Guest Homes Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

340164 Issued in IA

Legal business name

CHAUTAUQUA GUEST HOMES INC.

Practice address

302 9TH St
Charles City, IA 50616-3615

Phone

(641) 228-5351

Fax

(641) 228-5351

NPI assigned

Aug 23, 2005

Last updated

Nov 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan J Ayers, RNBC LNHA

Title

Administrator

Phone

(641) 228-5351

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093708323. Details of each certification follow.

• CCN 165243 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165243

Legal name

CHAUTAUQUA GUEST HOMES INC

Doing business as

CHAUTAUQUA GUEST HOME #3

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1995

Last certification

Aug 15, 2024

Beds

57

Ownership / control type

Corporation

Multi-facility organization

Chautauqua Guest Homes, Inc.

Organization structure

CorporationProprietary

Enrollment address

302 9TH St
Charles City, IA 50616-3615

Nursing home name

CHAUTAUQUA GUEST HOME #3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Chautauqua Guest Homes, Inc.

  • Skilled Nursing Facility
  • Charles City, IA
  • NPI 1538161971

  4688771272

  Same PAC ID

Listed as

Chautauqua Guest Home #3CCN 165243 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5743.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Chautauqua Guest Homes3 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.

• Chautauqua Guest Homes, Inc.

  • Skilled Nursing Facility
  • Charles City, IA
  • NPI 1538161971
  NPD tax ID
• Riverside Senior Living

  • Assisted Living Facility
  • Charles City, IA
  • NPI 1376601997
  NPD tax ID

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.

Owners & managing parties with NPI records 7

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

• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Floyd County Memorial Hospital Commission

  dba Floyd County Hosp ER Physicians

  • Emergency Medicine Physician
  • Charles City, IA
  • NPI 1346210408

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Floyd County Memorial Hospital Commission

  dba Floyd County Medical Center Clinic

  • Rural Health Clinic/Center
  • Charles City, IA
  • NPI 1700856630

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1942271598

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Fox Rehab PT Ia PLLC

  • Physical Therapist
  • Norwalk, IA
  • NPI 1730840240

  Adp of the SNF

  CMS ownership
• Ryka Incorporated

  dba Meyer Pharmacy

  • Community/Retail Pharmacy
  • Waverly, IA
  • NPI 1194876581

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Ashley Renee Siemons, MD

  • Family Medicine Physician
  • Charles City, IA
  • NPI 1790309789

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Chautauqua Guest Homes, Inc.

  • Skilled Nursing Facility
  • Charles City, IA
  • NPI 1538161971

  Floyd County Memorial Hospital Commission, Ryka Incorporated

  CMS ownership
• Floyd County Memorial Hospital Commission

  dba Floyd County Medical Center Clinic

  • Rural Health Clinic/Center
  • Charles City, IA
  • NPI 1700856630

  Floyd County Memorial Hospital Commission

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Paul Henry Royer, MD FACC

  • Family Medicine Physician
  • Charles City, IA
  • NPI 1932191103

  Nursing home

  Care Compare affiliation
• Ashley Renee Siemons, MD

  • Family Medicine Physician
  • Charles City, IA
  • NPI 1790309789

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1093708323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 9TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163615",
            "telephone_number": "641-228-5351",
            "fax_number": "641-228-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 9TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163615",
            "telephone_number": "641-228-5351",
            "fax_number": "641-228-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA GUEST HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-228-5351",
        "authorized_official_credential": "RNBC LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "340164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0652420",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERCK-DME",
            "identifier": "0443570001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOUND CARE",
            "identifier": "0215533",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65243",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166587",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800557",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Park Dentistry
• Michelle Cerwinske
• Charles City Community School District
• Charles City Family Health Ctr, P.C.
• Charles City Meals on Wheels, Inc.
• Chautauqua Guest Homes, Inc.
• Comprehensive Systems, Inc
• Comprehensive Systems, Inc
• Comprehensive Systems, Inc
• Comprehensive Systems, Inc

• Skilled Nursing Facility in Charles City, IA
• Providers in Charles City, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.

Verify at the official NPI Registry.