Organization Active NPI

Crystal Inc

Doing business as Karen Acres Healthcare Center

  • Skilled Nursing Facility
  • Urbandale, IA
National Provider Identifier
1295819225
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
770275 Issued in IA
Legal business name
CRYSTAL INC
Doing business as
Karen Acres Healthcare Center
Practice address
3605 Elm Dr
Urbandale, IA 50322-3019
Phone
(515) 276-4969
Fax
(515) 276-6612
NPI assigned
Oct 25, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Randy Lange
Title
Owner
Phone
(515) 223-0758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 770275 IA Primary

Addresses

Primary practice location

3605 Elm Dr
Urbandale, IA 50322-3019

Mailing address

3605 Elm Dr
Urbandale, IA 50322-3019
Phone (515) 276-4969

Other names 1

  • Karen Acres Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111205000047 IA Part A Provider - Skilled Nursing Facility 7012824782 Practice locations: Urbandale, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295819225. Details of each certification follow.

Skilled nursing facility certification: CCN 165460

Legal name
CRYSTAL INC
Doing business as
KAREN ACRES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 2002
Last certification
Jun 11, 2025
Beds
35
Ownership / control type
Corporation
Multi-facility organization
Crystal, Inc.
Organization structure
CorporationProprietary
Enrollment address
3605 Elm Dr
Urbandale, IA 50322-3019
Nursing home name
KAREN ACRES CARE CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Karen Acres Care CenterCCN 165460 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3530.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0383913Karen Acres Healthcare Center3605 Elm Drive, Urbandale, IA 50322Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Crystal Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 61

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Aug 1, 2018
Individual Adp of the SNF Aug 1, 2018
Individual Adp of the SNF Oct 1, 2024
Janyia Booker Individual Operational/Managerial Control May 20, 2025
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Nov 22, 2022
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Blue Stone Therapy Inc Organization, Urbandale, IA Corporation, Consulting firm Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Aug 1, 2018
Denman Cpa LLP Organization, West Des Moines, IA Consulting firm Adp of the SNF Dec 1, 2011
Individual Adp of the SNF Aug 1, 2018
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Feb 2, 2018
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Michael P Oconner Individual Operational/Managerial Control Apr 1, 2015
Adp of the SNF Sep 23, 2025
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Aug 1, 2018
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Feb 2, 2018
Individual Adp of the SNF Aug 1, 2018
Careserv Technologies LLC Organization, Cumming, GA LLC Adp of the SNF Feb 2, 2018
Individual Adp of the SNF Oct 1, 2024
John Dayton Individual Operational/Managerial Control Sep 17, 2021
Individual Adp of the SNF Oct 1, 2024
Pamela Harned Individual Operational/Managerial Control Apr 20, 2016
Adp of the SNF Sep 23, 2025
Cattail Inc Organization, Muscatine, IA Corporation Adp of the SNF Oct 1, 2024
BCG Holdings Inc Organization, Waukee, IA Corporation Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Aug 1, 2018
Iowa Health Care Association Organization, West Des Moines, IA Corporation Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Aug 1, 2018
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Feb 2, 2018
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Nov 22, 2022
Randall Lee Lange Individual 5% Or Greater Direct Ownership Interest Oct 1, 1998 50%
Corporate OfficerPresident Oct 1, 1998
Adp of the SNF Oct 1, 1998
Individual Adp of the SNF Aug 1, 2018
Ecsi Inc Organization, West Des Moines, IA Corporation Adp of the SNF Oct 1, 2024
Health Technologies, Inc Organization, Saint Louis, MO Corporation Adp of the SNF Apr 1, 2023
Myra Waltersdorf Individual Operational/Managerial Control Oct 22, 2024
Christopher Moulton Individual Operational/Managerial Control Mar 19, 2015
Individual Adp of the SNF Oct 1, 2024
Crystal L Even Individual 5% Or Greater Direct Ownership Interest Jul 1, 2013 50%
Corporate OfficerVice President Jul 1, 2013
Adp of the SNF Jul 1, 2013
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Aug 1, 2018
Individual Adp of the SNF Feb 2, 2018
Individual Adp of the SNF Aug 1, 2018
Cattail BCG LLC Organization, Muscatine, IA LLC Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm Adp of the SNF Oct 1, 2024
GRX Holdings, LLC Organization, West Des Moines, IA LLC, Consulting firm Adp of the SNF Aug 1, 2018
Individual Adp of the SNF Aug 1, 2018

Owners & managing parties with NPI records 22

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

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1295819225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 ELM DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223019",
            "telephone_number": "515-276-4969",
            "fax_number": "515-276-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 ELM DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223019",
            "telephone_number": "515-276-4969",
            "fax_number": "515-276-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-223-0758"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "770275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Acres Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.