Organization Active NPI

Montrose Health Center Operations LLC

Doing business as Montrose Health Center

  • Skilled Nursing Facility
  • Montrose, IA
National Provider Identifier
1275165458
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 165304 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4440.4 residents per day on average
Penalties (3 years)
2Fines totaling $43,079

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

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
Healthcare of Iowa Inc Organization, Cedar Rapids, IA Management services company Operational/Managerial Control Mar 1, 2020 100%
David M Payne Individual W-2 Managing EmployeeAdministrator Mar 1, 2020 100%
Lee County Bank Organization, Fort Madison, IA Financial institution 5% Or Greater Security Interest Mar 1, 2020 100%
Mark Holtkamp Individual 5% Or Greater Direct Ownership Interest Mar 1, 2020 50%
Corporate OfficerPresident Mar 1, 2020 100%
Corporate DirectorManager Mar 1, 2020 50%
Kevin Kidwell Individual 5% Or Greater Direct Ownership Interest Mar 1, 2020 50%
Corporate DirectorManager 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

Verify at the official NPI Registry.