NPIMap

Organization Active NPI

Wesley Retirement Services, Inc

Doing business as The Village, A WesleyLife Community

  • Skilled Nursing Facility
  • Indianola, IA
National Provider Identifier
1184601403
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
910708 Issued in IA
Legal business name
WESLEY RETIREMENT SERVICES, INC
Doing business as
The Village, A WesleyLife Community
Practice address
1203 N E St
Indianola, IA 50125-3276
Phone
(515) 961-7458
Fax
(515) 961-0898
NPI assigned
Dec 28, 2005
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Mr. Cal Shelangoski
Title
Finance Director
Phone
(515) 271-6896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 910708 IA Primary

Addresses

Primary practice location

1203 N E St
Indianola, IA 50125-3276

Mailing address

1203 N E St
Indianola, IA 50125-3276
Phone (515) 961-7458

Other names 1

  • The Village, A WesleyLife Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000281 IA Part A Provider - Skilled Nursing Facility 8022926526 Practice locations: Indianola, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184601403. Details of each certification follow.

Skilled nursing facility certification: CCN 165167

Legal name
WESLEY RETIREMENT SERVICES INC
Doing business as
THE VILLAGE, A WESLEYLIFE COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 31, 1991
Last certification
Nov 14, 2024
Beds
54
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Wesley Life Retirement Services
Organization structure
CorporationNon-profit
Incorporated
Jul 8, 1947 in IA
Enrollment address
1203 N E St
Indianola, IA 50125-3276
Nursing home name
THE VILLAGE
Affiliated entity
WESLEYLIFE

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
The VillageCCN 165167 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 31, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5446.5 residents per day on average
Chain
Wesleylife10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Wesley Retirement Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Christina L Taylor Individual Corporate Director Jan 1, 2018
Chad Rasmussen Individual Corporate Director Jan 1, 2011
Robert William Kretzinger Individual Corporate OfficerPresident & Ceo Nov 11, 1996
Operational/Managerial ControlPresident & Ceo Nov 11, 1996
Susan Watson Individual Corporate Director Jan 1, 2014
Roger K. Lagree Individual Corporate Director Jan 1, 2015
Abbey Gilroy Individual Corporate Director Jan 1, 2016
Kermit J Albertson Individual Corporate Director Jan 1, 2018
Nicole Lynn Hoeksema Individual Corporate Director Mar 1, 2021
David B Stout Individual Corporate Director Jan 1, 2011
Wesley Retirement Services Inc Organization, Johnston, IA Non-profit Operational/Managerial Control Oct 20, 2009
Wesleylife Organization, Johnston, IA Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 2010 100%
Robert M. Ruch Individual Corporate Director Jan 1, 2003

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Halcyon HouseWashington, IA, CCN 165483 Skilled nursing facility Operational/Managerial Control Jan 1, 1966
Wesley on GrandDes Moines, IA, CCN 165487 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 21, 1966
Jun 21, 1966
Wesley Park CentreNewton, IA, CCN 165543 Skilled nursing facility Operational/Managerial Control Jun 8, 1992
Heritage HouseAtlantic, IA, CCN 165561 Skilled nursing facility Operational/Managerial Control Jun 8, 1992
Edgewater, a Wesleylife CommunityWest Des Moines, IA, CCN 165597 Skilled nursing facility Operational/Managerial Control Feb 27, 2009
The CottagesPella, IA, CCN 165607 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Sep 25, 2009
Brio of Johnston, a Wesleylife CommunityJohnston, IA, CCN 165624 Skilled nursing facility Operational/Managerial Control (100%) Mar 26, 2018
Wesleylife HospiceUrbandale, IA, CCN 161587 Hospice Operational/Managerial Control Jun 1, 2007

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

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

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": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1184601403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N E ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253276",
            "telephone_number": "515-961-7458",
            "fax_number": "515-961-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N E ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253276",
            "telephone_number": "515-961-7458",
            "fax_number": "515-961-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY RETIREMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "SHELANGOSKI",
        "authorized_official_first_name": "CAL",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "515-271-6896",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "910708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village, A WesleyLife Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianola, IA

Sources for this page

Verify at the official NPI Registry.