Organization Active NPI

Iowa Jewish Senior Life Center

  • Skilled Nursing Facility
  • Des Moines, IA
National Provider Identifier
1235225699
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
S384 Issued in IA
Legal business name
IOWA JEWISH SENIOR LIFE CENTER
Practice address
900 Polk Blvd
Des Moines, IA 50312-2225
Phone
(515) 255-5433
Fax
(515) 277-8898
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Stephen P Blend
Title
Executive Director Administrator
Phone
(515) 255-5433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X S384 IA
Skilled Nursing Facility 314000000X S384 IA Primary

Addresses

Primary practice location

900 Polk Blvd
Des Moines, IA 50312-2225

Mailing address

900 Polk Boulevard
Des Moines, IA 50312-2225
Phone (515) 255-5433

Other identifiers 1

IdentifierTypeStateIssuer
0802025MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000412 IA Part A Provider - Skilled Nursing Facility 5496915951 Practice locations: Des Moines, IA

Skilled nursing facility certification: CCN 165006

Legal name
IOWA JEWISH SENIOR LIFE CENTER
Doing business as
IOWA JEWISH SENIOR LIFE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Mar 13, 2025
Beds
72 (46 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
900 Polk Blvd
Des Moines, IA 50312-2225
Nursing home name
IOWA JEWISH SENIOR LIFE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Iowa Jewish Senior Life CenterCCN 165006
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4639.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Iowa Jewish Senior Life Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Lazaro U Rabang Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Gloria Bernstein Individual Corporate Officer Jul 1, 2017
Managing Control - Governing BodyBoard Member Jul 1, 2017
Beata Dorota Mock Individual Corporate DirectorFinancial Director Nov 18, 2014
Angela Meyer Individual Corporate DirectorAdministrator May 1, 2022 100%
Operational/Managerial Control May 1, 2022
Adp of the SNF Feb 26, 2025
Polly Oxley Individual Corporate Officer Jul 1, 2020

Owners & managing parties with NPI records 1

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

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235225699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 POLK BOULEVARD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122225",
            "telephone_number": "515-255-5433",
            "fax_number": "515-277-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 POLK BLVD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122225",
            "telephone_number": "515-255-5433",
            "fax_number": "515-277-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA JEWISH SENIOR LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLEND",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR ADMINISTRATOR",
        "authorized_official_telephone_number": "515-255-5433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "S384",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "S384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802025",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.