Premier Estates 507, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

870126 Issued in IA

Legal business name

PREMIER ESTATES 507, LLC

Doing business as

Lenox Care Center

Practice address

111 E Van Buren St
Lenox, IA 50851-1142

Phone

(641) 333-2226

Fax

(641) 333-4174

NPI assigned

Jan 11, 2016

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Culp

Title

Controller

Phone

(941) 758-4745

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lenox Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265898969. Details of each certification follow.

• CCN 165235 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165235

Legal name

PREMIER ESTATES 507, LLC

Doing business as

LENOX CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1994

Last certification

Feb 27, 2025

Beds

46 (36 certified)

Ownership / control type

Partnership

Multi-facility organization

Campbell Street

Organization structure

LLCProprietary

Incorporated

Dec 24, 2015 in FL

Enrollment address

111 East Van Buren
Lenox, IA 50851-0699

Nursing home name

LENOX CARE CENTER

Affiliated entity

ARBORETA HEALTHCARE

Listed as

Lenox Care CenterCCN 165235 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Nov 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3625.2 residents per day on average

Chain

Arboreta Healthcare2 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 24

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

Owners & managing parties with NPI records 1

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

• Steven Allen Freeman, MD

  • Internal Medicine Physician
  • Corning, IA
  • NPI 1497770176

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

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

• Premier Estates 502, LLC

  dba Grandview Health Care Center

  • Skilled Nursing Facility
  • Dayton, IA
  • NPI 1972969681

  Arboreta Health and Rehabilitation Centers, LLC, Arboreta Healthcare Consulting, LLC, Arboreta Healthcare, Inc, Greenside Healthcare Properties LLC, P&M Holding Group LLP

  CMS ownership
• Premier Estates of Kenesaw, LLC

  • Skilled Nursing Facility
  • Kenesaw, NE
  • NPI 1407233257

  Arboreta Health and Rehabilitation Centers, LLC, Arboreta Healthcare Consulting, LLC, Arboreta Healthcare, Inc

  CMS ownership
• Premier Estates of Pierce, LLC

  • Skilled Nursing Facility
  • Pierce, NE
  • NPI 1205213055

  Arboreta Health and Rehabilitation Centers, LLC, Arboreta Healthcare Consulting, LLC

  CMS ownership
• St Paul Elder Services, Inc

  • Skilled Nursing Facility
  • Kaukauna, WI
  • NPI 1093786543

  P&M Holding Group LLP

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Steven Allen Freeman, MD

  • Internal Medicine Physician
  • Corning, IA
  • NPI 1497770176

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1265898969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085509",
            "telephone_number": "941-758-4745",
            "fax_number": "941-751-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E VAN BUREN ST",
            "city": "LENOX",
            "state": "IA",
            "postal_code": "508511142",
            "telephone_number": "641-333-2226",
            "fax_number": "641-333-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ESTATES 507, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "CULP",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "941-758-4745"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "870126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800173",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenox Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Lynn
• Gary W. McNeely, D.D.S.
• Steve Mowery, R.PH.
• Nudak Ventures, LLC (NuCara Pharmacy #30)
• Opco Lenox, Ia, LLC (Lenox Care Center)
• Pursuit of Independence
• Linda J Robinson, DO
• Darcy Rubenking, P.A.-C.
• Steven L Sawyer, DDS
• Debra Ann Springer, OTR

• Skilled Nursing Facility in Lenox, IA
• Providers in Lenox, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.

Verify at the official NPI Registry.