Active NPI
Wayland Mennonite Home Association
Doing business as Parkview Home
- Skilled Nursing Facility
- Wayland, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 440318
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803114 | Medicaid | IA | |
| 0890640 | Medicaid | IA |
Other names 1
- Parkview Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jun 1, 2004
- Medicare certification status
- Active
- Certified beds
- 34
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0387516 | Parkview Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| TDT Cpa's and Advisors PC | Adp of the SNF | May 18, 2017 | |
| Cora Beltramea | Operational/Managerial Control | May 20, 2022 | |
| Jeffrey Eubanks | Corporate Officer | Nov 23, 2021 | 16.67% |
| Corporate Director | Jan 1, 2019 | 16.67% | |
| Darren Brown | Corporate Director | Sep 26, 2023 | |
| Ronald George Semler | Operational/Managerial Control | Sep 23, 2020 | |
| Adp of the SNF | Sep 30, 2025 | ||
| Heather German | Operational/Managerial Control | May 16, 2011 | |
| Scott Shank | Corporate Officer | Jan 11, 2022 | 16.67% |
| Corporate Director | Jan 11, 2022 | 16.67% | |
| Larry Gugel | Corporate Director | Jan 1, 2019 | 16.67% |
| Cattail Inc | Adp of the SNF | Oct 1, 2024 | |
| BCG Holdings Inc | Adp of the SNF | Oct 1, 2024 | |
| Iowa Health Care Association | Adp of the SNF | Oct 1, 2024 | |
| David Shreeves | Corporate Director | Feb 1, 2023 | |
| Lindsey Jean Van Duyn | Operational/Managerial Control | May 19, 2023 | |
| Adp of the SNF | Sep 30, 2025 | ||
| William Burke LTD | Adp of the SNF | Jan 1, 2025 | |
| Ecsi Inc | Adp of the SNF | Oct 1, 2024 | |
| Wes Rinner | Corporate Director | Sep 26, 2023 | |
| Charles Brown | Operational/Managerial Control | Feb 10, 2021 | |
| Tina Garrett | Corporate Officer | Dec 31, 2019 | 16.67% |
| Corporate Director | Dec 31, 2019 | 16.67% | |
| Cattail BCG LLC | Adp of the SNF | Oct 1, 2024 | |
| Key Rehabilitation Inc | Adp of the SNF | Oct 1, 2024 | |
| Brighton Consulting Group LLC | 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.
-
- General Practice Physician
- Sigourney, IA
- NPI 1871975185
Adp of the SNF, Operational/Managerial Control
-
dba Main at Locust Pharmacy
- Community/Retail Pharmacy
- Davenport, IA
- NPI 1184781940
Adp of the SNF
-
dba Main at Locust Pharmacy and Clinic
- Clinic Pharmacy
- Davenport, IA
- NPI 1851620066
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Hendersonville, TN
- NPI 1528136249
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Psychologist
- Gardner, KS
- NPI 1205106457
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- McIntosh, MN
- NPI 1295436970
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc.
- Psychologist
- Salem, MO
- NPI 1821335613
Adp of the SNF
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.
-
- Internal Medicine Physician
- Mt Pleasant, IA
- NPI 1730175803
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.