Clear Lake Ia Skilled Nursing Facility, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CLEAR LAKE IA SKILLED NURSING FACILITY, LLC

Practice address

400 US Highway 18 W
Clear Lake, IA 50428-1108

Phone

(641) 357-5244

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Chaim Rajchenbach

Title

Principal

Phone

(847) 745-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Skilled nursing facility certification: CCN 165365

Legal name

CLEAR LAKE IA SKILLED NURSING FACILITY LLC

Doing business as

OAKWOOD CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1997

Last certification

Nov 7, 2024

Beds

76

Ownership / control type

Corporation

Multi-facility organization

Legacy Healthcare

Organization structure

LLCProprietary

Enrollment address

400 US Highway 18 W
Clear Lake, IA 50428-1108

Nursing home name

OAKWOOD CARE CENTER

Affiliated entity

LEGACY HEALTHCARE

Listed as

Oakwood Care CenterCCN 165365

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7663.5 residents per day on average

Chain

Legacy Healthcare89 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Clear Lake Ia Skilled Nursing Facility LLC3 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.

• Clear Lake Ia Skilled Nursing Facility, LLC

  • In Home Supportive Care Agency
  • Clear Lake, IA
  • NPI 1184454696
  NPD tax ID
• Clear Lake Ia Skilled Nursing Facility, LLC

  • Assisted Living Facility
  • Clear Lake, IA
  • NPI 1770358418
  NPD tax ID

All disclosed owners & managing parties 49

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 1

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

• McKenzie Brekken, DO

  • Family Medicine Physician
  • Clear Lake, IA
  • NPI 1144889544

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 68

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

• Allison Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Allison, IA
  • NPI 1538934229

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Aplington Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Aplington, IA
  • NPI 1326813015

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Armstrong Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Armstrong, IA
  • NPI 1316712011

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Battle Creek Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Battle Creek, IA
  • NPI 1487429189

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Belmond Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Belmond, IA
  • NPI 1982479671

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Bloomfield Ia Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Bloomfield, IA
  • NPI 1093580821

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Britt Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Britt, IA
  • NPI 1851166557

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Cedar Rapids Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Cedar Rapids, IA
  • NPI 1699489385

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Davenport Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Davenport, IA
  • NPI 1780398842

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Des Moines Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • West Des Moines, IA
  • NPI 1861106924

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Dubuque Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Dubuque, IA
  • NPI 1104530286

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Elma Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Elma, IA
  • NPI 1114792892

  Legacy Healthcare Financial Services LLC

  CMS ownership

Affiliated clinicians 8

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

• McKenzie Brekken, DO

  • Family Medicine Physician
  • Clear Lake, IA
  • NPI 1144889544

  Nursing home

  Care Compare affiliation
• Anna Ruth Holzer, MD

  • Family Medicine Physician
  • Altoona, IA
  • NPI 1457664799

  Nursing home

  Care Compare affiliation
• Anne Jones, ARNP

  • Family Nurse Practitioner
  • Clear Lake, IA
  • NPI 1801337795

  Nursing home

  Care Compare affiliation
• Tanya Lynn Kuhn, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Centerville, IA
  • NPI 1922824515

  Nursing home

  Care Compare affiliation
• Tracy M Mixdorf, DO

  • Family Medicine Physician
  • Clear Lake, IA
  • NPI 1578573846

  Nursing home

  Care Compare affiliation
• Tara Ann Rochleau

  • Family Nurse Practitioner
  • Garner, IA
  • NPI 1265065270

  Nursing home

  Care Compare affiliation
• Ashley Alice Wilkinson, DNP, ARNP, FNP-C

  • Family Nurse Practitioner
  • Belmond, IA
  • NPI 1871015453

  Nursing home

  Care Compare affiliation
• Brittany Waletzko Bartz, DO

  • Family Medicine Physician
  • Blue Earth, MN
  • NPI 1184159014

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1114792801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 18 W",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281108",
            "telephone_number": "641-357-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 18 W",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281108",
            "telephone_number": "641-357-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE IA SKILLED NURSING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlee Christianson, COTA
• Marla Christopher, LPN
• City of Clear Lake City Clerk
• Clear Lake Community School District
• Clear Lake Community Schools
• Clear Lake Ia Skilled Nursing Facility, LLC
• Clear Lake Ia Skilled Nursing Facility, LLC
• Cooper Lee Cobb
• Shea Coleman
• Larry Patrick Costello

• All providers in Clear Lake, IA
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.