Organization Active NPI

Madrid Home for the Aging

  • Nursing Facility/Intermediate Care Facility
  • Madrid, IA
National Provider Identifier
1306806849
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
080797 Issued in IA
Legal business name
MADRID HOME FOR THE AGING
Practice address
613 W North St
Madrid, IA 50156-1023
Phone
(515) 795-3007
Fax
(515) 795-2138
NPI assigned
Mar 27, 2006
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Kris Hansen
Title
President/Ceo
Phone
(515) 795-3007

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 080797 IA Primary
Skilled Nursing Facility 314000000X 080797 IA
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

613 W North St
Madrid, IA 50156-1023

Mailing address

613 W North St
Madrid, IA 50156-1023
Phone (515) 795-3007

Other identifiers 2

IdentifierTypeStateIssuer
0802371MedicaidIA
0258863MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091207000530 IA Part A Provider - Skilled Nursing Facility 4385783299 Practice locations: Madrid, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306806849. Details of each certification follow.

Skilled nursing facility certification: CCN 165118

Legal name
MADRID HOME FOR THE AGING
Doing business as
MADRID HOME FOR THE AGING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1983
Last certification
Mar 20, 2025
Beds
64
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Western Home Communities
Organization structure
CorporationNon-profit
Enrollment address
613 W North St
Madrid, IA 50156-1023
Nursing home name
MADRID HOME FOR THE AGED
Affiliated entity
WESTERN HOME COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Madrid Home for the AgedCCN 165118 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6457.7 residents per day on average
Chain
Western Home Communities6 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Madrid Home for the Agi4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

613 W North St
Madrid, IA 50156
Phone (515) 795-3007

Ownership & related parties

All disclosed owners & managing parties 68

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

NameRoleSinceShare
Richard a Frankhauser Individual Corporate OfficerSecretary Jan 1, 2021
Individual Adp of the SNF Feb 28, 2023
Brandon Elsberry Individual Operational/Managerial Control Sep 6, 2022
Hannah Bollinger Individual Operational/Managerial Control Nov 8, 2023
Individual Adp of the SNF Jan 1, 2025
Patrick O'Leary Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Jan 1, 2025
CBS Staffing LLC Organization, Urbandale, IA LLC Adp of the SNF Apr 1, 2023
Cliftonlarsonallen LLP Organization, Chicago, IL Consulting firm Adp of the SNF Aug 25, 2021
Individual Adp of the SNF Jan 1, 2021
Darrell McCormick Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Tech of Ages LLC Organization, Cedar Falls, IA LLC, Consulting firm Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Total Nurses Network Organization, Chicago, IL Corporation Adp of the SNF Jan 1, 2025
Brian Whyms Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Mar 18, 2026
Lisa Ridder Individual Operational/Managerial Control Jun 5, 2013
Reliant Care Pharmacy Services LLC Organization, Coralville, IA LLC, Consulting firm Adp of the SNF Feb 28, 2023
Individual Adp of the SNF Jan 1, 2021
Individual Adp of the SNF Jan 1, 2021
Aaron Sannes Individual Corporate DirectorDirector Jan 15, 2025
Individual Adp of the SNF Jan 1, 2025
Anthony M Moore Individual Operational/Managerial Control Apr 17, 2024
Individual Adp of the SNF Jan 1, 2025
Sheri Brockelsby Individual Corporate OfficerAuthorized Official Jan 18, 2018
Individual Adp of the SNF Feb 28, 2023
Nextaff Group LLC Organization, Overland Park, KS Corporation Adp of the SNF Jan 1, 2025
Krystal Ross Individual Operational/Managerial Control Jul 12, 2021
Jerry L. Harris Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Dianne Schultz Individual Corporate OfficerVice Chair Jan 1, 2021
Individual Adp of the SNF Jan 1, 2021
Kris Wilson Hansen Individual Corporate OfficerAuthorized Official Jan 1, 2022
Operational/Managerial Control Jan 1, 2002
Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Jan 1, 2025
Signature Healthcare LLC Organization, Waukee, IA LLC Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Oct 1, 2020
Grape Tree Medical Staffing LLC Organization, Milford, IA Corporation Adp of the SNF Apr 1, 2023
Angela Evans Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Feb 28, 2023
Jennifer Pies Individual Operational/Managerial Control Jan 16, 2021
Rebecca Peterson Individual Operational/Managerial Control Mar 25, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Apr 1, 2025
Heather Schroeder Individual Corporate DirectorDirector Jan 15, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2021
Katherine Susong Individual Corporate DirectorDirector Jan 15, 2025
Sugar Creek Health Management LLC Organization, Butler, PA Corporation Adp of the SNF Sep 30, 2022
Individual Adp of the SNF Jan 1, 2025
Molly Phipps Individual Operational/Managerial Control Sep 8, 2021
Medical Solutions LLC Organization, Omaha, NE LLC Adp of the SNF Apr 1, 2023
Individual Adp of the SNF Jan 1, 2025
RC and Associates Organization, Boone, IA Corporation Adp of the SNF Jan 1, 2025
Wendy Ager Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Jan 1, 2025
Richard L Colby Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Mar 18, 2026
Western Home Services Inc Organization, Cedar Falls, IA Corporation, Chain home office Operational/Managerial Control Jan 1, 2022 100%
Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Oct 1, 2024
Bank Iowa Organization, West Des Moines, IA Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Jan 1, 2025 50%
Adp of the SNF Jan 1, 2025
Ronald Gaines Individual Corporate OfficerChair Jan 1, 2021
Individual Adp of the SNF Jan 1, 2025
J Evans Nutrition Consulting LLC Organization, Cambridge, IA Corporation, Consulting firm Adp of the SNF Oct 1, 2020
Individual Adp of the SNF Jan 1, 2021
Sarah Brown Individual Corporate OfficerChair Jan 1, 2021
Individual Adp of the SNF Feb 28, 2023
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2021

Owners & managing parties with NPI records 2

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1306806849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 W NORTH ST",
            "city": "MADRID",
            "state": "IA",
            "postal_code": "501561023",
            "telephone_number": "515-795-3007",
            "fax_number": "515-795-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W NORTH ST",
            "city": "MADRID",
            "state": "IA",
            "postal_code": "501561023",
            "telephone_number": "515-795-3007",
            "fax_number": "515-795-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRID HOME FOR THE AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-795-3007"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "080797",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "080797",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802371",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258863",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madrid, IA

Sources for this page

Verify at the official NPI Registry.