Jackson Ia Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JACKSON IA OPCO LLC

Doing business as

Jackson Ridge Healthcare Center

Practice address

1015 Wesley Dr
Maquoketa, IA 52060-2637

Phone

(563) 652-4967

NPI assigned

Mar 29, 2023

Last updated

Jun 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonah Svarc

Title

Managing Member

Phone

(917) 474-4967

Specialties & licenses 1

Addresses

Other names 1

• Jackson Ridge Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326742610. Details of each certification follow.

• CCN 165516 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165516

Legal name

JACKSON IA OPCO LLC

Doing business as

JACKSON RIDGE HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 2003

Last certification

Aug 7, 2024

Beds

75

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1015 Wesley Dr
Maquoketa, IA 52060-2637

Nursing home name

JACKSON RIDGE HEALTHCARE CENTER

Affiliated entity

SHLOMO HOFFMAN

Listed as

Jackson Ridge Healthcare CenterCCN 165516 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7562.4 residents per day on average

Chain

Shlomo Hoffman10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 1

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

• Jerald W Bybee, MD

  • Family Medicine Physician
  • Maquoketa, IA
  • NPI 1659360816

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 5

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

• Bettendorf Ia SNF Opco LLC

  • Skilled Nursing Facility
  • Bettendorf, IA
  • NPI 1144006644

  Stellar Healthcare MGMT LLC

  CMS ownership
• Clinton Opco LLC

  • Skilled Nursing Facility
  • Clinton, IA
  • NPI 1821775164

  Stellar Healthcare MGMT LLC

  CMS ownership
• Dubuque Opco LLC

  dba Ennoble Nursing and Rehab

  • Skilled Nursing Facility
  • Dubuque, IA
  • NPI 1033817903

  Stellar Healthcare MGMT LLC

  CMS ownership
• Hillcrest Opco LLC

  dba Luther Manor at Hillcrest

  • Skilled Nursing Facility
  • Dubuque, IA
  • NPI 1578386181

  Stellar Healthcare MGMT LLC

  CMS ownership
• Maquoketa Opco LLC

  dba Maquoketa Care Center

  • Skilled Nursing Facility
  • Maquoketa, IA
  • NPI 1932807229

  Stellar Healthcare MGMT LLC

  CMS ownership

Affiliated clinicians 3

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

• Jerald W Bybee, MD

  • Family Medicine Physician
  • Maquoketa, IA
  • NPI 1659360816

  Nursing home

  Care Compare affiliation
• Eric Scott Petersen, D.O.

  • Family Medicine Physician
  • Maquoketa, IA
  • NPI 1538149042

  Nursing home

  Care Compare affiliation
• Roger R Waller, MD

  • Family Medicine Physician
  • Maquoketa, IA
  • NPI 1750370011

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1326742610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WESLEY DR",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WESLEY DR",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602637",
            "telephone_number": "563-652-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON IA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "SVARC",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-474-4967"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Ridge Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackson County Public Hospital (Jackson County Regional Health Center)
• Jackson County Public Hospital (Jackson County Regional Health Center)
• Jackson County Public Hospital (Jackson Co Regional Health Center Home & Community Health)
• Jackson County Public Hospital
• Jackson County Public Hospital (Jackson County Regional Health Center)
• Jay Allen Jackson, RN
• Gloria Jorgensen
• Adrienne D'Agostino Kane, DDS
• Paul Henry Koob, DO
• Kari Kreel

• Skilled Nursing Facility in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.

Verify at the official NPI Registry.