Active NPI
Montrose Health Center Operations LLC
Doing business as Montrose Health Center
- Skilled Nursing Facility
- Montrose, IA
National Provider Identifier
1275165458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MONTROSE HEALTH CENTER OPERATIONS LLC
- Doing business as
- Montrose Health Center
- Practice address
- 400 S 7TH St
Montrose, IA 52639-9549 - Phone
- (319) 463-5438
- NPI assigned
- Feb 6, 2020
- Last updated
- Feb 6, 2020
- 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
- Mr. Mark Holtkamp
- Title
- Managing Member
- Phone
- (319) 644-3479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
400 S 7TH St
Montrose, IA 52639-9549
Mailing address
4611 Timberland CT NE
Solon, IA 52333-4703
Phone (319) 644-3479
Other names 1
- Montrose Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200311002365 | IA | Part A Provider - Skilled Nursing Facility | 9032547757 | Practice locations: Montrose, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275165458. Details of each certification follow.
Skilled nursing facility certification: CCN 165304
- Legal name
- MONTROSE HEALTH CENTER OPERATIONS LLC
- Doing business as
- MONTROSE HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 1996
- Last certification
- Sep 19, 2024
- Beds
- 44
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Dec 6, 2019 in IA
- Enrollment address
- 400 S 7TH St
Montrose, IA 52639-9549 - Nursing home name
- MONTROSE HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Montrose Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 1, 1996
- Medicare certification status
- Active
- Certified beds
- 44
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Healthcare of Iowa Inc | Operational/Managerial Control | Mar 1, 2020 | 100% |
| David M Payne | W-2 Managing Employee | Mar 1, 2020 | 100% |
| Lee County Bank | 5% Or Greater Security Interest | Mar 1, 2020 | 100% |
| Mark Holtkamp | 5% Or Greater Direct Ownership Interest | Mar 1, 2020 | 50% |
| Corporate Officer | Mar 1, 2020 | 100% | |
| Corporate Director | Mar 1, 2020 | 50% | |
| Kevin Kidwell | 5% Or Greater Direct Ownership Interest | Mar 1, 2020 | 50% |
| Corporate Director | Mar 1, 2020 | 50% |
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": "1580947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580947200000",
"number": "1275165458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 TIMBERLAND CT NE",
"city": "SOLON",
"state": "IA",
"postal_code": "523334703",
"telephone_number": "319-644-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 7TH ST",
"city": "MONTROSE",
"state": "IA",
"postal_code": "526399549",
"telephone_number": "319-463-5438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTROSE HEALTH CENTER OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A",
"authorized_official_last_name": "HOLTKAMP",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "319-644-3479",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montrose Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montrose, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.