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

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

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 1

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

Affiliated clinicians 2

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

Medicare Care Compare: Nursing home

Listed as
Karen Acres Care Center CCN 165460
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 (Provider of Services file)
Certified beds
35 · 30.3 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0383913Karen Acres Healthcare Center
3605 Elm Drive, Urbandale, IA 50322
Certificate of waiverNov 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

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 Officer
President
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 Officer
Vice 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

Medicare enrollment records

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

National Provider Directory

Tax ID family
Crystal Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0808824MedicaidIA

Other names

  • Karen Acres Healthcare Center Doing business as

Other providers in Urbandale, IA

All providers in Urbandale, IA · Skilled Nursing Facility in Iowa

Sources for this page

Verify at the official NPI Registry.