Hiawatha Care Center Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

570660 Issued in IA

Legal business name

HIAWATHA CARE CENTER INC

Doing business as

Hiawatha Care Center

Practice address

405 N 15TH Ave
Hiawatha, IA 52233-2347

Phone

(319) 378-8583

Fax

(319) 378-8598

NPI assigned

Jun 22, 2005

Last updated

Jan 27, 2012By 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

Kenneth D. Carlson

Title

Corporate Secretary

Phone

(515) 223-6064

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hiawatha 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 1285630541. Details of each certification follow.

• CCN 165537 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165537

Legal name

HIAWATHA CARE CENTER INC

Doing business as

HIAWATHA CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 2004

Last certification

Mar 13, 2025

Beds

109

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

405 N 15TH Ave
Hiawatha, IA 52233-2347

Listed as

Hiawatha Care CenterCCN 165537 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

109101.4 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

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.

Owners & managing parties with NPI records 6

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

• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Des Moines, IA
  • NPI 1255385852

  Adp of the SNF

  CMS ownership
• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Independence, IA
  • NPI 1336193986

  Adp of the SNF

  CMS ownership
• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Fort Dodge, IA
  • NPI 1376597708

  Adp of the SNF

  CMS ownership
• PM Acquisition, LLC

  dba Medicap Pharmacy LTC Waterloo

  • Long Term Care Pharmacy
  • Waterloo, IA
  • NPI 1508339425

  Adp of the SNF

  CMS ownership
• PM Acquisition, LLC

  dba Medicap Pharmacy LTC Iowa City

  • Long Term Care Pharmacy
  • Iowa City, IA
  • NPI 1588900047

  Adp of the SNF

  CMS ownership
• Vincent A Taeger, M.D.

  • Family Medicine Physician
  • West Burlington, IA
  • NPI 1770659591

  Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Algona Manor Care Center, Inc

  dba Algona Manor Care Center

  • Skilled Nursing Facility
  • Algona, IA
  • NPI 1922091131

  Thomas F Juckette Marital Trust

  CMS ownership
• Pleasant Manor Care Center, Inc.

  dba Savannah Heights

  • Nursing Facility/Intermediate Care Facility
  • Mt Pleasant, IA
  • NPI 1578633251

  Thomas F Juckette Marital Trust

  CMS ownership
• West Point Care Center, Inc.

  dba West Point Care Center

  • Skilled Nursing Facility
  • West Point, IA
  • NPI 1346335379

  Thomas F Juckette Marital Trust

  CMS ownership

Affiliated clinicians 1

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

• Vincent A Taeger, M.D.

  • Family Medicine Physician
  • West Burlington, IA
  • NPI 1770659591

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1285630541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N 15TH AVE",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332347",
            "telephone_number": "319-378-8583",
            "fax_number": "319-378-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N 15TH AVE",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332347",
            "telephone_number": "319-378-8583",
            "fax_number": "319-378-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAWATHA CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "515-223-6064"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "570660",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "570660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809236",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hiawatha Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aubrey Brooke Hepker, MA
• John P Herring, MD
• Kaitlyn Hester, OTD, OTR/L
• Jamie J Heying, D.D.S
• Hiawatha Alf LLC
• Hiawatha Opco LLC
• Kelsey Holladay, LISW
• Jennifer I Holmes
• Hope Hearing & Tinnitus Center PLLC
• Lindsay Meade Hopp, LISW

• Nursing Facility/Intermediate Care Facility in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.