NPIMap

Organization Active NPI

Opco Osage, Ia, LLC

  • Skilled Nursing Facility
  • Osage, IA
National Provider Identifier
1174352108
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OPCO OSAGE, IA, LLC
Practice address
830 S 5TH St
Osage, IA 50461-1919
Phone
(641) 732-5520
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Isaac Dole
Title
Manager of the LLC
Phone
(872) 282-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

830 S 5TH St
Osage, IA 50461-1919

Mailing address

2045 W Grand Ave Ste B-34572
Chicago, IL 60612-1576
Phone (872) 282-8001

Other names 1

  • Osage Rehabilitation and Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502002307 IA Part A Provider - Skilled Nursing Facility 2567990419 Practice locations: Osage, IA

Skilled nursing facility certification: CCN 165173

Legal name
OPCO OSAGE IA LLC
Doing business as
OSAGE REHAB & HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 9, 1992
Last certification
Nov 14, 2024
Beds
46
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Campbell Street Senior Living
Organization structure
LLCProprietary
Enrollment address
830 South Fifth Street
Osage, IA 50461-1919
Nursing home name
OSAGE REHAB AND HEALTH CARE CENTER
Affiliated entity
CAMPBELL STREET SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Osage Rehab and Health Care CenterCCN 165173
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 9, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4626.2 residents per day on average
Chain
Campbell Street Services22 facilities in the chain
Penalties (3 years)
3Fines totaling $14,433

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Isaac S Dole Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2025 100%
Operational/Managerial Control Feb 1, 2025
Managing Control - Governing BodyManager Feb 1, 2025
Defranco Investment Co LTD Organization, Castle Rock, CO Adp of the SNF Sep 1, 2024
5V+ Seniors Healthcare Fund, LP Organization, Chicago, IL Adp of the SNF May 6, 2025
Campbell Street Ia 10 LLC Organization, Chicago, IL LLC, Management services company Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
Nap Holdings LLC Organization, Denver, CO LLC, Holding company Adp of the SNF Sep 1, 2024
5V+ Seniors Healthcare Fund GP, LLC Organization, Chicago, IL LLC Adp of the SNF May 6, 2025
Bear Creek Sraf GP Holdings LLC Organization, Denver, CO LLC, Holding company Adp of the SNF Sep 1, 2024
Iaga SNF Holdings LLC Organization, Denver, CO LLC, Holding company Adp of the SNF Sep 1, 2024
Bear Creek Strategic Real Assets Fund LP Organization, Denver, CO Holding company Adp of the SNF Sep 1, 2024
Iaga SNF Portfolio LLC Organization, Denver, CO LLC Adp of the SNF May 6, 2025
Iaga SNF Osage LLC Organization, Denver, CO LLC Adp of the SNF Sep 1, 2025
Birchwood Healthcare Partners LLC Organization, Chicago, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2025 100%
Operational/Managerial Control Feb 1, 2025
Acd Consolidated LLC Organization, Castle Rock, CO LLC Adp of the SNF Sep 1, 2024
Holdco, Ia, 10, LLC Organization, Chicago, IL LLC, Holding company Operational/Managerial Control Feb 1, 2025
Campbell Street Services LLC Organization, Chicago, IL LLC, Medical provider/supplier Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1174352108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B-34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "872-282-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S 5TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611919",
            "telephone_number": "641-732-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCO OSAGE, IA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER OF THE LLC",
        "authorized_official_telephone_number": "872-282-8001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osage Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Osage Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osage, IA

Sources for this page

Verify at the official NPI Registry.