Active NPI
Crystal Inc
Doing business as Karen Acres Healthcare Center
- Skilled Nursing Facility
- Urbandale, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 770275
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 2002
- Medicare certification status
- Active
- Certified beds
- 35
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0383913 | Karen Acres Healthcare Center | Certificate of waiver | Nov 30, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Crystal Inc
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.
| 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 |
Owners & managing parties with NPI records 22
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Waukee, IA
- NPI 1023044179
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Indianola, IA
- NPI 1093764086
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Norwalk, IA
- NPI 1124086533
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Eldora, IA
- NPI 1174617583
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Knoxville, IA
- NPI 1255399663
Adp of the SNF
-
dba Medicap Pharmacy LTC
- Long Term Care Pharmacy
- Indianola, IA
- NPI 1306913983
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Des Moines, IA
- NPI 1528017647
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Grimes, IA
- NPI 1609803964
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Ames, IA
- NPI 1669408175
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Des Moines, IA
- NPI 1679764294
Adp of the SNF
-
dba Medicap Pharmacy
- Community/Retail Pharmacy
- Winterset, IA
- NPI 1821047945
Adp of the SNF
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.