Wesley Retirement Services, Inc
Organization Active NPI Skilled Nursing Facility · Indianola, IA
NPI 1184601403 · NPPES record last updated Sep 11, 2014
Key facts
- NPI
- 1184601403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 910708 (IA)
- Legal business name
- WESLEY RETIREMENT SERVICES, INC
- Practice address
- 1203 N E St
Indianola, IA 50125-3276 - Phone
- (515) 961-7458
- Fax
- (515) 961-0898
- NPI assigned
- Dec 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Cal Shelangoski
- Title
- Finance Director
- Phone
- (515) 271-6896
Owners & managing parties with NPI records 4
Owned or controlled facilities with NPI records 8
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Member organizations 2
Facilities with the same owner 11
Affiliated clinicians 1
-
Scott Thomas Hanson, D.O.
Medicare Care Compare: Nursing home
- Listed as
- The Village
- 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
- Active
- Certified beds
- 54 · 46.5 residents per day on average
- Chain
- Wesleylife
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
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
- Corporation · Non-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
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Christina L Taylor |
Corporate Director | Jan 1, 2018 | |
| Chad Rasmussen |
Corporate Director | Jan 1, 2011 | |
| Robert William Kretzinger |
Corporate Officer |
Nov 11, 1996 | |
| Operational/Managerial Control |
Nov 11, 1996 | ||
| Susan Watson |
Corporate Director | Jan 1, 2014 | |
| Roger K. Lagree |
Corporate Director | Jan 1, 2015 | |
| Abbey Gilroy |
Corporate Director | Jan 1, 2016 | |
| Kermit J Albertson |
Corporate Director | Jan 1, 2018 | |
| Nicole Lynn Hoeksema |
Corporate Director | Mar 1, 2021 | |
| David B Stout |
Corporate Director | Jan 1, 2011 | |
| Wesley Retirement Services Inc |
Operational/Managerial Control | Oct 20, 2009 | |
| Wesleylife |
5% Or Greater Direct Ownership Interest | Sep 21, 2010 | 100% |
| Robert M. Ruch |
Corporate Director | Jan 1, 2003 |
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Halcyon House |
Skilled nursing facility | Operational/Managerial Control | Jan 1, 1966 |
| Wesley on Grand |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 21, 1966 Jun 21, 1966 |
| Wesley Park Centre |
Skilled nursing facility | Operational/Managerial Control | Jun 8, 1992 |
| Heritage House |
Skilled nursing facility | Operational/Managerial Control | Jun 8, 1992 |
| Edgewater, a Wesleylife Community |
Skilled nursing facility | Operational/Managerial Control | Feb 27, 2009 |
| The Cottages |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Sep 25, 2009 |
| Brio of Johnston, a Wesleylife Community |
Skilled nursing facility | Operational/Managerial Control (100%) | Mar 26, 2018 |
| Wesleylife Hospice |
Hospice | Operational/Managerial Control | Jun 1, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100112000281 | IA | Part a Provider - Skilled Nursing Facility | 8022926526 | Practice locations: Indianola, IA |
National Provider Directory
- Tax ID family
- Wesley Retirement Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 910708 | IA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808790 | Medicaid | IA |
Other names
- The Village, A WesleyLife Community
Other providers in Indianola, IA
- Warren County Case Management
- Warren County Chiropractic Inc
- Warren H. Peterson, O.D.
- Warren H. Peterson, O.D.
- Ryan C Werling
- Kayla Delynne Wessel
- Steven Ensley West
- Barbara M White
- Amy Marie Whitlatch-Gillum
- Colton Wilson
All providers in Indianola, IA · Skilled Nursing Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.