Organization Active NPI

Wayland Mennonite Home Association

Doing business as Parkview Home

  • Skilled Nursing Facility
  • Wayland, IA
National Provider Identifier
1215940556
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
440318 Issued in IA
Legal business name
WAYLAND MENNONITE HOME ASSOCIATION
Doing business as
Parkview Home
Practice address
102 N Jackson St
Wayland, IA 52654-7616
Phone
(319) 256-3525
Fax
(319) 256-4022
NPI assigned
Aug 15, 2006
Last updated
Mar 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Kelly R Overton
Title
President
Phone
(319) 256-3525

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0318 IA
Skilled Nursing Facility 314000000X 440318 IA Primary
Physical Disabilities Residential Treatment Facility 320700000X 440318 IA

Addresses

Primary practice location

102 N Jackson St
Wayland, IA 52654-7616

Mailing address

102 N Jackson St
Wayland, IA 52654-7616
Phone (319) 256-3525

Other identifiers 2

IdentifierTypeStateIssuer
0803114MedicaidIA
0890640MedicaidIA

Other names 1

  • Parkview Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031114000353 IA Part A Provider - Skilled Nursing Facility 8921912981 Practice locations: Wayland, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215940556. Details of each certification follow.

Skilled nursing facility certification: CCN 165547

Legal name
WAYLAND MENNONITE HOME ASSOCIATION
Doing business as
PARKVIEW HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 2004
Last certification
Aug 1, 2024
Beds
34
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Enrollment address
102 N Jackson St
Wayland, IA 52654-7616
Nursing home name
PARKVIEW HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkview HomeCCN 165547 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jun 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3427.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0387516Parkview Home102 North Jackson Street, PO Box 38, Wayland, IA 52654Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
TDT Cpa's and Advisors PC Organization, Oskaloosa, IA Corporation, Consulting firm, For-profit Adp of the SNF May 18, 2017
Cora Beltramea Individual Operational/Managerial Control May 20, 2022
Jeffrey Eubanks Individual Corporate OfficerPresident Nov 23, 2021 16.67%
Corporate DirectorDirector Jan 1, 2019 16.67%
Darren Brown Individual Corporate DirectorDirector Sep 26, 2023
Ronald George Semler Individual Operational/Managerial Control Sep 23, 2020
Adp of the SNF Sep 30, 2025
Heather German Individual Operational/Managerial Control May 16, 2011
Scott Shank Individual Corporate OfficerVice President Jan 11, 2022 16.67%
Corporate DirectorDirector Jan 11, 2022 16.67%
Larry Gugel Individual Corporate DirectorDirector Jan 1, 2019 16.67%
Cattail Inc Organization, Muscatine, IA LLC Adp of the SNF Oct 1, 2024
BCG Holdings Inc Organization, Waukee, IA Corporation, For-profit Adp of the SNF Oct 1, 2024
Iowa Health Care Association Organization, West Des Moines, IA Corporation, For-profit Adp of the SNF Oct 1, 2024
David Shreeves Individual Corporate DirectorDirector Feb 1, 2023
Lindsey Jean Van Duyn Individual Operational/Managerial Control May 19, 2023
Adp of the SNF Sep 30, 2025
William Burke LTD Organization, Bettendorf, IA Corporation, Consulting firm Adp of the SNF Jan 1, 2025
Ecsi Inc Organization, West Des Moines, IA Corporation, For-profit Adp of the SNF Oct 1, 2024
Wes Rinner Individual Corporate DirectorDirector Sep 26, 2023
Charles Brown Individual Operational/Managerial Control Feb 10, 2021
Tina Garrett Individual Corporate OfficerSecretary Dec 31, 2019 16.67%
Corporate DirectorDirector Dec 31, 2019 16.67%
Cattail BCG LLC Organization, Muscatine, IA LLC, For-profit Adp of the SNF Oct 1, 2024
Key Rehabilitation Inc Organization, Murfreesboro, TN Corporation, Consulting firm, For-profit Adp of the SNF Oct 1, 2024
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm, For-profit Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1215940556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N JACKSON ST",
            "city": "WAYLAND",
            "state": "IA",
            "postal_code": "526547616",
            "telephone_number": "319-256-3525",
            "fax_number": "319-256-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N JACKSON ST",
            "city": "WAYLAND",
            "state": "IA",
            "postal_code": "526547616",
            "telephone_number": "319-256-3525",
            "fax_number": "319-256-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYLAND MENNONITE HOME ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-256-3525"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "0318",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "440318",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "IA",
            "license": "440318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803114",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0890640",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayland, IA

Sources for this page

Verify at the official NPI Registry.