Ottumwa Developments Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N687 Issued in IA

Legal business name

OTTUMWA DEVELOPMENTS INC

Doing business as

Vista Woods Care Center

Practice address

3 Pennsylvania PL
Ottumwa, IA 52501-2165

Phone

(641) 683-3372

Fax

(641) 683-1031

NPI assigned

Sep 26, 2005

Last updated

Sep 19, 2012By 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

Mr. Ronald L Stursma

Title

Administrator

Phone

(641) 683-3372

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vista Woods Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114913977. Details of each certification follow.

• CCN 165549 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165549

Legal name

OTTUMWA DEVELOPMENTS INC

Doing business as

VISTA WOODS CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 2004

Last certification

Sep 12, 2024

Beds

60

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

3 Pennsylvania PL
Ottumwa, IA 52501-2165

Listed as

Accura Healthcare of OttumwaCCN 165549 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Aug 1, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6055.3 residents per day on average

Penalties (3 years)

1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Ottumwa Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ottumwa Development

  dba Ottumwa Manor

  • Nursing Facility/Intermediate Care Facility
  • Ottumwa, IA
  • NPI 1144216995
  NPD tax ID

All disclosed owners & managing parties 14

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.

• Brian Quinn, DO

  • Family Medicine Physician
  • Ottumwa, IA
  • NPI 1023048626

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Brian Quinn, DO

  • Family Medicine Physician
  • Ottumwa, IA
  • NPI 1023048626

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1114913977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PENNSYLVANIA PL",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012165",
            "telephone_number": "641-683-3372",
            "fax_number": "641-683-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PENNSYLVANIA PL",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012165",
            "telephone_number": "641-683-3372",
            "fax_number": "641-683-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA DEVELOPMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "STURSMA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-683-3372",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "N687",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809012",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Woods Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osceola Vision Center P.C. (Ottumwa Eye Care)
• Ottumwa Anesthesiologists PC
• Ottumwa Chiropractic Clinic PC (Ottumwa Chiropractic Clinic)
• Ottumwa Community School District
• Ottumwa Development (Ottumwa Manor)
• Ottumwa ER LLC
• Ottumwa ER LLC
• Ottumwa Express Clinic
• Ottumwa Health Group LLC
• Ottumwa Health Group LLC (Ottumwa Women's Health Clinic)

• Skilled Nursing Facility in Ottumwa, IA
• Providers in Ottumwa, 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 Sep 19, 2012; 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.