Active NPI
Madrid Home for the Aging
- Nursing Facility/Intermediate Care Facility
- Madrid, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 080797
- 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, 2019
- 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
- Kris Hansen
- Title
- President/Ceo
- Phone
- (515) 795-3007
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0802371 | Medicaid | IA | |
| 0258863 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Aged
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1983
- Medicare certification status
- Active
- Certified beds
- 64
- Chain
- Western Home Communities
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Madrid Home for the Agi
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ballard Creek Community
- Assisted Living Facility
- Huxley, IA
- NPI 1346312683
-
dba The Cedars of of Madrid Homes
- Assisted Living Facility
- Madrid, IA
- NPI 1366516239
-
- Durable Medical Equipment & Medical Supplies
- Madrid, IA
- NPI 1790850915
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard a Frankhauser | Corporate Officer | Jan 1, 2021 | |
| Adp of the SNF | Feb 28, 2023 | ||
| Brandon Elsberry | Operational/Managerial Control | Sep 6, 2022 | |
| Hannah Bollinger | Operational/Managerial Control | Nov 8, 2023 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Patrick O'Leary | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| CBS Staffing LLC | Adp of the SNF | Apr 1, 2023 | |
| Cliftonlarsonallen LLP | Adp of the SNF | Aug 25, 2021 | |
| Adp of the SNF | Jan 1, 2021 | ||
| Darrell McCormick | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Tech of Ages LLC | Adp of the SNF | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Total Nurses Network | Adp of the SNF | Jan 1, 2025 | |
| Brian Whyms | Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Mar 18, 2026 | ||
| Lisa Ridder | Operational/Managerial Control | Jun 5, 2013 | |
| Reliant Care Pharmacy Services LLC | Adp of the SNF | Feb 28, 2023 | |
| Adp of the SNF | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Aaron Sannes | Corporate Director | Jan 15, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Anthony M Moore | Operational/Managerial Control | Apr 17, 2024 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Sheri Brockelsby | Corporate Officer | Jan 18, 2018 | |
| Adp of the SNF | Feb 28, 2023 | ||
| Nextaff Group LLC | Adp of the SNF | Jan 1, 2025 | |
| Krystal Ross | Operational/Managerial Control | Jul 12, 2021 | |
| Jerry L. Harris | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Dianne Schultz | Corporate Officer | Jan 1, 2021 | |
| Adp of the SNF | Jan 1, 2021 | ||
| Kris Wilson Hansen | Corporate Officer | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2002 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Signature Healthcare LLC | Adp of the SNF | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Oct 1, 2020 | ||
| Grape Tree Medical Staffing LLC | Adp of the SNF | Apr 1, 2023 | |
| Angela Evans | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Feb 28, 2023 | ||
| Jennifer Pies | Operational/Managerial Control | Jan 16, 2021 | |
| Rebecca Peterson | Operational/Managerial Control | Mar 25, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| Heather Schroeder | Corporate Director | Jan 15, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Katherine Susong | Corporate Director | Jan 15, 2025 | |
| Sugar Creek Health Management LLC | Adp of the SNF | Sep 30, 2022 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Molly Phipps | Operational/Managerial Control | Sep 8, 2021 | |
| Medical Solutions LLC | Adp of the SNF | Apr 1, 2023 | |
| Adp of the SNF | Jan 1, 2025 | ||
| RC and Associates | Adp of the SNF | Jan 1, 2025 | |
| Wendy Ager | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Richard L Colby | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Mar 18, 2026 | ||
| Western Home Services Inc | Operational/Managerial Control | Jan 1, 2022 | 100% |
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Bank Iowa | 5% Or Greater Mortgage Interest | Jan 1, 2025 | 50% |
| Adp of the SNF | Jan 1, 2025 | ||
| Ronald Gaines | Corporate Officer | Jan 1, 2021 | |
| Adp of the SNF | Jan 1, 2025 | ||
| J Evans Nutrition Consulting LLC | Adp of the SNF | Oct 1, 2020 | |
| Adp of the SNF | Jan 1, 2021 | ||
| Sarah Brown | Corporate Officer | Jan 1, 2021 | |
| Adp of the SNF | Feb 28, 2023 | ||
| Brighton Consulting Group LLC | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Jan 1, 2025 | ||
| 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.
-
dba Trio Pharmacy Services
- Long Term Care Pharmacy
- Coralville, IA
- NPI 1487977195
Adp of the SNF
-
- Internal Medicine Physician
- Des Moines, IA
- NPI 1821440066
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Creekside
- Nursing Facility/Intermediate Care Facility
- Grundy Center, IA
- NPI 1225546948
Western Home Services Inc
-
dba The Suites at Western Home Communities
- Skilled Nursing Facility
- Cedar Falls, IA
- NPI 1669971487
Western Home Services Inc
-
- Nursing Facility/Intermediate Care Facility
- Reinbeck, IA
- NPI 1851308969
Western Home Services Inc
-
- Nursing Facility/Intermediate Care Facility
- Ackley, IA
- NPI 1003811456
Western Home Services Inc
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.