Pacifica Health Services LLC
Organization Active NPI Skilled Nursing Facility · Carlisle, IA
NPI 1326071002 · NPPES record last updated Jan 9, 2026
Key facts
- NPI
- 1326071002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 910796 (IA)
- Legal business name
- PACIFICA HEALTH SERVICES LLC
- Practice address
- 680 Cole St
Carlisle, IA 50047-8763 - Phone
- (515) 989-0871
- Fax
- (515) 989-0007
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer K Conner
- Title
- President
- Phone
- (515) 240-5677
Owners & managing parties with NPI records 1
-
Robert D Conner, DO
Corporate family (same tax ID) 1
Facilities with the same owner 30
Affiliated clinicians 1
-
Robert D Conner, DO
Medicare Care Compare: Nursing home
- Listed as
- Accura Healthcare of Carlisle
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1995
- Medicare certification status
- Active
- Certified beds
- 80 · 75.0 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $37,177
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0718895 | Carlisle Center for Wellness and Rehab | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Skilled nursing facility certification: CCN 165255
- Legal name
- PACIFICA HEALTH SERVICES LLC
- Doing business as
- VIA OF CARLISLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1995
- Last certification
- Aug 28, 2024
- Beds
- 80
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Accura Healthcare
- Organization structure
- LLC · Proprietary
- Enrollment address
- 680 Cole St
Carlisle, IA 50047-8763
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Martens & Company Cpa, LLP |
Adp of the SNF | Jan 1, 2017 | |
| |
Adp of the SNF | Jan 1, 2017 | |
| Kevin Babb |
5% Or Greater Direct Ownership Interest |
Dec 2, 2015 | 49% |
| Adp of the SNF | Apr 12, 2017 | ||
| American Healthcare Management Services LLC |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Dec 23, 2025 | ||
| Ted a Leneave |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Kaylyn Fisher |
Operational/Managerial Control | Oct 7, 2024 | |
| Adp of the SNF | Oct 7, 2024 | ||
| |
Adp of the SNF | Jan 1, 2017 | |
| Robert D Conner |
5% Or Greater Direct Ownership Interest |
Dec 2, 2015 | 49% |
| Corporate Director |
Dec 2, 2015 | 49% | |
| Operational/Managerial Control | Jan 1, 2001 | ||
| Adp of the SNF | Jan 1, 2001 | ||
| |
Direct Ownership Interest | Dec 2, 2015 | 1% |
| Lisa Toti |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| |
Adp of the SNF | Apr 12, 2017 | |
| |
Adp of the SNF | Jan 1, 2017 | |
| Jennifer K Conner |
Corporate Officer |
Dec 2, 2015 | 1% |
| Direct Ownership Interest | Dec 2, 2015 | 1% | |
| First Interstate Bank |
5% Or Greater Mortgage Interest | Jun 1, 2002 | 100% |
| Brighton Consulting Group LLC |
Adp of the SNF | Jan 1, 2002 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051206000504 | IA | Part a Provider - Skilled Nursing Facility | 9537189527 | Practice locations: Carlisle, IA |
National Provider Directory
- Tax ID family
- Carlisle Center for Wellness Rehab
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 910796 | IA | |
| Skilled Nursing Facility | 314000000X | 910796 | IA | Yes |
Addresses
Primary practice location
680 Cole St
Carlisle, IA 50047-8763
Mailing address
680 Cole St
Carlisle, IA 50047-8763
Phone (515) 989-0871
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34700 | Medicaid | IA |
Other names
- Carlisle Center for Wellness Rehab
- Via of Carlisle
Other providers in Carlisle, IA
- Marble Works, Inc
- Michael J McCormick
- Mercy Clinics, Inc
- Jennifer Mae Olson
- Optometric Associates of Warren County PC
- Marissa Pyle
- Brooke Shelquist
- Nicholas Ambrose Simpson
- Kristin Stopulos
- The Nervous System Co. LLC
All providers in Carlisle, 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 Jan 9, 2026. 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.