Exira Care Center Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-0106 Issued in IA

Legal business name

EXIRA CARE CENTER CORPORATION

Doing business as

Exira Care Center

Practice address

409 S Carthage St
Exira, IA 50076-1502

Phone

(712) 268-5393

Fax

(712) 268-9742

NPI assigned

Feb 7, 2006

Last updated

Nov 14, 2018By 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

Steven Fister

Title

Administrator

Phone

(712) 268-5393

Specialties & licenses 1

Addresses

Other names 1

• Exira 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 1174595698. Details of each certification follow.

• CCN 165412 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165412

Legal name

EXIRA CARE CENTER CORPORATION

Doing business as

EXIRA CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1999

Last certification

Oct 10, 2024

Beds

60

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

411 S Carthage St
Exira, IA 50076-1502

Nursing home name

EXIRA CARE CENTER

Listed as

Exira Care CenterCCN 165412 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 1, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6037.7 residents per day on average

Penalties (3 years)

1Fines totaling $22,880

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

Locations

All disclosed owners & managing parties 63

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 10

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

• Key Rehabilitation, Inc

  • Physical Therapist
  • Waukee, IA
  • NPI 1265639033

  Adp of the SNF

  CMS ownership
• Stephanie Vampola-Runyan, D.O.

  • Family Medicine Physician
  • Audubon, IA
  • NPI 1891101457

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Key Rehabilitation Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • Hendersonville, TN
  • NPI 1528136249

  Adp of the SNF

  CMS ownership
• Key Rehabilitation Inc

  • Rehabilitation Hospital Unit
  • Grand Island, NE
  • NPI 1902923014

  Adp of the SNF

  CMS ownership
• Key Rehabilitation, Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Psychologist
  • Gardner, KS
  • NPI 1205106457

  Adp of the SNF

  CMS ownership
• Key Rehabilitation, Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • McIntosh, MN
  • NPI 1295436970

  Adp of the SNF

  CMS ownership
• Key Rehabilitation, Inc

  • Physical Therapist
  • Elk Point, SD
  • NPI 1548126980

  Adp of the SNF

  CMS ownership
• Key Rehabilitation, Inc

  dba GeroPsych

  • Psychologist
  • Dewey, OK
  • NPI 1558768051

  Adp of the SNF

  CMS ownership
• Key Rehabilitation, Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1679328975

  Adp of the SNF

  CMS ownership
• Key Rehabilitation,Inc.

  dba GeroPsych, a division of Key Rehabilitation, Inc.

  • Psychologist
  • Salem, MO
  • NPI 1821335613

  Adp of the SNF

  CMS ownership

Affiliated clinicians 4

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

• Seann M Atkinson, DO

  • Family Medicine Physician
  • Atlantic, IA
  • NPI 1659463628

  Nursing home

  Care Compare affiliation
• Stacey L Bean, PA-C

  • Medical Physician Assistant
  • Atlantic, IA
  • NPI 1831283092

  Nursing home

  Care Compare affiliation
• Valerie Ann Riesberg, ARNP

  • Family Nurse Practitioner
  • Audubon, IA
  • NPI 1013314350

  Nursing home

  Care Compare affiliation
• Stephanie Vampola-Runyan, D.O.

  • Family Medicine Physician
  • Audubon, IA
  • NPI 1891101457

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1174595698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S CARTHAGE ST",
            "city": "EXIRA",
            "state": "IA",
            "postal_code": "500761502",
            "telephone_number": "712-268-5393",
            "fax_number": "712-268-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S CARTHAGE ST",
            "city": "EXIRA",
            "state": "IA",
            "postal_code": "500761502",
            "telephone_number": "712-268-5393",
            "fax_number": "712-268-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXIRA CARE CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "FISTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-268-5393"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-0106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exira Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Exira Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audubon County Memorial Hospital (Exira Medical Clinic)
• Audubon County Memorial Hospital
• James D Brokke, D.O.
• Exira Community School Ditrict
• Exira Family Medicine Clinic, LLC
• Exira Fire & EMS Association Incorporated
• Exira-Ehk Community School District
• Katie L Glade, DPT

• Skilled Nursing Facility in Exira, IA
• Providers in Exira, 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 14, 2018; 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.