Black Hawk Nursing and Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLACK HAWK NURSING AND REHABILITATION, LLC

Practice address

1410 W Dunkerton Rd
Waterloo, IA 50703-9648

Phone

(319) 291-2509

NPI assigned

Dec 26, 2018

Organization subpart

No

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

Authorized official

Name

Amira Krvavac

Title

Ar Director

Phone

(224) 470-2657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Skilled nursing facility certification: CCN 165307

Legal name

BLACK HAWK NURSING AND REHABILITATION LLC

Doing business as

PILLAR OF CEDAR VALLEY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 13, 1997

Last certification

Oct 3, 2024

Beds

155 (114 certified)

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Provident Healthcare Management

Organization structure

LLCProprietary

Incorporated

Nov 28, 2018 in IA

Enrollment address

1410 W Dunkerton Rd
Waterloo, IA 50703-9648

Nursing home name

PILLAR OF CEDAR VALLEY

Intermediate care facility for individuals with intellectual disabilities certification: CCN 16G051

Legal name

PILLAR OF CEDAR VALLEY

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 17, 1991

Last certification

Feb 6, 2025

Beds

53

Ownership / control type

Private (proprietary)

Facility address

1410 West Dunkerton Road
Waterloo, IA 50703

Listed as

Pillar of Cedar ValleyCCN 165307

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 13, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

114133.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Black Hawk Nursing and Rehabilitation LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Black Hawk Nursing and Rehabilitation, LLC

  • Mental Illness Intermediate Care Facility
  • Waterloo, IA
  • NPI 1538631817
  NPD tax ID
• Black Hawk Nursing and Rehabilitation, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Waterloo, IA
  • NPI 1891267175
  NPD tax ID

Locations

All disclosed owners & managing parties 10

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.

• Michael L. Messing, MD

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1740219351

  Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Michele L. Friedman, A.R.N.P.

  • Nurse Practitioner
  • Waterloo, IA
  • NPI 1508844465

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285106567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE STE 301",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121740",
            "telephone_number": "847-494-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W DUNKERTON RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507039648",
            "telephone_number": "319-291-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HAWK NURSING AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRVAVAC",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_title_or_position": "AR DIRECTOR",
        "authorized_official_telephone_number": "224-470-2657"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Kaye Binger, LMSW
• Birdee Cottage, LLC
• Blair J Birkett, TMLHC
• Patricia Jane Bischoff, ARNP
• Black Hawk Center for Independent Living
• Black Hawk Nursing and Rehabilitation, LLC
• Black Hawk Nursing and Rehabilitation, LLC
• Black Hawk-Grundy Mental Health Center Inc.
• Natalie Ann Bloom, ARNP, FNP-C
• Michael J Blough, DC

• Skilled Nursing Facility in Waterloo, IA
• Providers in Waterloo, 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 Sep 11, 2025; 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.