Crystal Inc
Organization Active NPI Skilled Nursing Facility · Urbandale, IA
NPI 1295819225 · NPPES record last updated Aug 8, 2012
Key facts
- NPI
- 1295819225
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 770275 (IA)
- Legal business name
- CRYSTAL INC
- Practice address
- 3605 Elm Dr
Urbandale, IA 50322-3019 - Phone
- (515) 276-4969
- Fax
- (515) 276-6612
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Randy Lange
- Title
- Owner
- Phone
- (515) 223-0758
Owners & managing parties with NPI records 22
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Affiliated clinicians 2
-
Courtney Heater, P.A.
Medicare Care Compare: Nursing home
- Listed as
- Karen Acres Care Center
- 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
- Active
- Certified beds
- 35 · 30.3 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0383913 | Karen Acres Healthcare Center | Certificate of waiver | Nov 30, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
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
- Corporation · Proprietary
- Enrollment address
- 3605 Elm Dr
Urbandale, IA 50322-3019 - Nursing home name
- KAREN ACRES CARE CENTER
All disclosed owners & managing parties 61
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Janyia Booker |
Operational/Managerial Control | May 20, 2025 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Nov 22, 2022 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Blue Stone Therapy Inc |
Adp of the SNF | Jan 1, 2024 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| Denman Cpa LLP |
Adp of the SNF | Dec 1, 2011 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Feb 2, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Michael P Oconner |
Operational/Managerial Control | Apr 1, 2015 | |
| Adp of the SNF | Sep 23, 2025 | ||
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Feb 2, 2018 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| Careserv Technologies LLC |
Adp of the SNF | Feb 2, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| John Dayton |
Operational/Managerial Control | Sep 17, 2021 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Pamela Harned |
Operational/Managerial Control | Apr 20, 2016 | |
| Adp of the SNF | Sep 23, 2025 | ||
| Cattail Inc |
Adp of the SNF | Oct 1, 2024 | |
| BCG Holdings Inc |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| Iowa Health Care Association |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Feb 2, 2018 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Nov 22, 2022 | |
| Randall Lee Lange |
5% Or Greater Direct Ownership Interest | Oct 1, 1998 | 50% |
| Corporate Officer |
Oct 1, 1998 | ||
| Adp of the SNF | Oct 1, 1998 | ||
| |
Adp of the SNF | Aug 1, 2018 | |
| Ecsi Inc |
Adp of the SNF | Oct 1, 2024 | |
| Health Technologies, Inc |
Adp of the SNF | Apr 1, 2023 | |
| Myra Waltersdorf |
Operational/Managerial Control | Oct 22, 2024 | |
| Christopher Moulton |
Operational/Managerial Control | Mar 19, 2015 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Crystal L Even |
5% Or Greater Direct Ownership Interest | Jul 1, 2013 | 50% |
| Corporate Officer |
Jul 1, 2013 | ||
| Adp of the SNF | Jul 1, 2013 | ||
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| |
Adp of the SNF | Feb 2, 2018 | |
| |
Adp of the SNF | Aug 1, 2018 | |
| Cattail BCG LLC |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| |
Adp of the SNF | Oct 1, 2024 | |
| Brighton Consulting Group LLC |
Adp of the SNF | Oct 1, 2024 | |
| GRX Holdings, LLC |
Adp of the SNF | Aug 1, 2018 | |
| |
Adp of the SNF | Aug 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111205000047 | IA | Part a Provider - Skilled Nursing Facility | 7012824782 | Practice locations: Urbandale, IA |
National Provider Directory
- Tax ID family
- Crystal Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 770275 | IA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808824 | Medicaid | IA |
Other names
- Karen Acres Healthcare Center
Other providers in Urbandale, IA
- Steven Michael Craig
- Nancy Ann Crimmins
- Theresa Ann Crispin
- Critical Care Systems, LLC
- Critical Care Systems, LLC
- Whitney Custer
- Kevin Thomas Cwach
- D. R. Respiratory Services
- Tyler Jose Da Costa Duraes
- Michelle Daniels
All providers in Urbandale, 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 Aug 8, 2012. 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.