Rockwell Community Nursing Home, Inc
Organization Active NPI Skilled Nursing Facility · Rockwell, IA
NPI 1295728319 · NPPES record last updated Nov 13, 2009
Key facts
- NPI
- 1295728319
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 165406 (IA)
- Legal business name
- ROCKWELL COMMUNITY NURSING HOME, INC
- Practice address
- 707 Elm St E
Rockwell, IA 50469-1035 - Phone
- (641) 822-3203
- Fax
- (641) 822-3201
- NPI assigned
- Aug 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan Marie Adams
- Title
- Administrator
- Phone
- (641) 822-3203
Owners & managing parties with NPI records 13
Affiliated clinicians 2
-
Alicia Marie O'Neill, ARNP
Medicare Care Compare: Nursing home
- Listed as
- Rockwell Community Nursing Home
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1999
- Medicare certification status
- Active
- Certified beds
- 40 · 20.6 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0722352 | Rockwell Community Nursing Home | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Skilled nursing facility certification: CCN 165406
- Legal name
- ROCKWELL COMMUNITY NURSING HOME INC
- Doing business as
- ROCKWELL COMMUNITY NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1999
- Last certification
- Sep 11, 2024
- Beds
- 40
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 707 Elm St E
Rockwell, IA 50469-1035 - Nursing home name
- ROCKWELL COMMUNITY NURSING HOME
All disclosed owners & managing parties 54
| Name | Role | Since | Share |
|---|---|---|---|
| Merritt Computer Services Inc |
Adp of the SNF | Jan 1, 2013 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Tanner Winfrey |
Operational/Managerial Control | Jan 6, 2025 | |
| Joshua Baker |
Operational/Managerial Control | May 7, 2022 | |
| Adp of the SNF | Jul 7, 2026 | ||
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Jun 1, 2012 | |
| International Association of Lions - 4091 Rockwell |
5% Or Greater Direct Ownership Interest | Jul 30, 2008 | 6.5% |
| |
Adp of the SNF | Dec 10, 2018 | |
| |
Adp of the SNF | Jun 1, 2018 | |
| Janet Hanig |
Corporate Officer |
Sep 1, 2018 | |
| Onr National Speech Pathology Inc |
Adp of the SNF | Jun 1, 2012 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Rhonda Buttjer |
Operational/Managerial Control | Oct 28, 2024 | |
| Mark Twedt |
Corporate Director |
Sep 28, 2022 | |
| |
Adp of the SNF | Dec 1, 2018 | |
| Samantha Launspach |
Operational/Managerial Control | May 17, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Tracy Worley |
Corporate Officer |
Sep 1, 1998 | 14% |
| |
Adp of the SNF | Oct 1, 2024 | |
| Cattail Inc |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| BCG Holdings Inc |
Adp of the SNF | Oct 1, 2024 | |
| Iowa Health Care Association |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Jeffery Shultz |
Corporate Officer |
Jan 1, 2025 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Jan 1, 2013 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Harrison and Associates Cpas |
Adp of the SNF | Jun 1, 2018 | |
| Ecsi Inc |
Adp of the SNF | Oct 1, 2024 | |
| Kassidy Spurgin |
Operational/Managerial Control | Oct 15, 2024 | |
| Adp of the SNF | Jul 7, 2026 | ||
| |
Adp of the SNF | Oct 1, 2024 | |
| Beverly Peters |
Corporate Director |
Feb 1, 2025 | |
| Stephanie a Norris |
Adp of the SNF | Jul 11, 2017 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Denise Jeffrey |
Corporate Director |
Nov 15, 2023 | |
| Mercy Health Services-Iowa Corp |
Adp of the SNF | Dec 1, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Dec 1, 2018 | |
| Catherine Logan |
Operational/Managerial Control | Sep 10, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Cattail BCG LLC |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Jean Pearson |
Operational/Managerial Control | Sep 10, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Brighton Consulting Group LLC |
Adp of the SNF | Oct 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091111000400 | IA | Part a Provider - Skilled Nursing Facility | 3678611621 | Practice locations: Rockwell, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 165406 | IA | Yes |
Addresses
Primary practice location
707 Elm St E
Rockwell, IA 50469-1035
Mailing address
707 Elm St E
Rockwell, IA 50469-1035
Phone (641) 822-3203
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803486 | Medicaid | IA |
Other providers in Rockwell, IA
- Joshua Paul Baker
- Belmond Community Hospital
- Amber Lane
- North Iowa Mercy Clinics
- Alicia Marie O'Neill
- Rockwell-Swaledale Community School District
- West Fork Community School District
- West Fork Family Medicine PC
All providers in Rockwell, IA · Skilled Nursing Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.