NPIMap

Organization Active NPI

Harvest Acres Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Keota, IA
National Provider Identifier
1245064179
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARVEST ACRES NURSING AND REHAB LLC
Practice address
204 N Keokuk Washington Rd
Keota, IA 52248-9496
Phone
(641) 636-3400
NPI assigned
Sep 2, 2024
Last updated
Sep 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Joseph Glatzer
Title
Authorized Representative
Phone
(848) 757-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

204 N Keokuk Washington Rd
Keota, IA 52248-9496

Mailing address

204 N Keokuk Washington Rd
Keota, IA 52248-9496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325000182 IA Part A Provider - Skilled Nursing Facility 8325561939 Practice locations: Keota, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245064179. Details of each certification follow.

Skilled nursing facility certification: CCN 165355

Legal name
HARVEST ACRES NURSING AND REHAB, LLC
Doing business as
HARVEST ACRES NURSING AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1997
Last certification
Nov 19, 2024
Beds
35
Ownership / control type
Limited Liability Corporation
Multi-facility organization
LLC Care Sage
Organization structure
LLCProprietary
Enrollment address
204 N Keokuk Washington Rd
Keota, IA 52248-9496
Nursing home name
HARVEST ACRES NURSING AND REHAB
Affiliated entity
CEDAR VIEW HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harvest Acres Nursing and RehabCCN 165355 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3528.7 residents per day on average
Chain
Cedar View Holdings9 facilities in the chain
Penalties (3 years)
1Fines totaling $136,500

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Gabriel J Sebbag Individual 5% Or Greater Indirect Ownership InterestPresident Jan 1, 2025 52%
Samara Fam TR Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2025 24%
Adp of the SNF Jan 1, 2025
JSJ 2020 Fam TR Organization, Greenville, DE Adp of the SNF Jan 1, 2025
Iowa 5784 LLC Organization, Passaic, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 52%
Adp of the SNF Apr 10, 2025
Amaranthine Holdings LLC Organization, Valley Stream, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Janelle Case Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
JSJ Property LLC Organization, Lawrence, NY LLC Adp of the SNF Jan 1, 2025
204 N Keokuk Washington Road Propco LLC Organization, Hewlett, NY LLC Adp of the SNF Jan 1, 2025
Caresage Administrative Consulting, LLC Organization, Valley Stream, NY LLC, Consulting firm Adp of the SNF Jan 1, 2025
Cedar View TR Organization, Greenville, DE 5% Or Greater Indirect Ownership Interest Jan 1, 2025 24%
Summation Financial Services LLC Organization, Valley Stream, NY LLC Adp of the SNF Jan 1, 2025
Daniel Miller Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Wilmington, DE Corporation Adp of the SNF Jan 1, 2025
Clinical Consulting Services LLC Organization, Eddystone, PA LLC, Consulting firm Adp of the SNF Jan 1, 2025
Samara Family Holdings LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 24%
Adp of the SNF Jan 1, 2025
Cedar View Holdings LLC Organization, Greenville, DE LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 24%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1245064179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N KEOKUK WASHINGTON RD",
            "city": "KEOTA",
            "state": "IA",
            "postal_code": "522489496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N KEOKUK WASHINGTON RD",
            "city": "KEOTA",
            "state": "IA",
            "postal_code": "522489496",
            "telephone_number": "641-636-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST ACRES NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "GLATZER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "848-757-0550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keota, IA

Sources for this page

Verify at the official NPI Registry.