NPIMap

Organization Active NPI

Cherokee Care LLC

Doing business as Countryside Estates

  • Skilled Nursing Facility
  • Cherokee, IA
National Provider Identifier
1336100585
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
180966 Issued in IA
Legal business name
CHEROKEE CARE LLC
Doing business as
Countryside Estates
Practice address
921 Riverview Dr
Cherokee, IA 51012-1578
Phone
(712) 225-5724
Fax
(712) 225-3917
NPI assigned
Mar 29, 2006
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Michelle Zimbelman
Title
Manager
Phone
(816) 232-9573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 180966 IA Primary

Addresses

Primary practice location

921 Riverview Dr
Cherokee, IA 51012-1578

Mailing address

921 Riverview Dr
Cherokee, IA 51012-1578
Phone (712) 225-5724

Other identifiers 1

IdentifierTypeStateIssuer
0805143MedicaidIA

Other names 1

  • Countryside Estates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061106000425 IA Part A Provider - Skilled Nursing Facility 5890792709 Practice locations: Cherokee, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336100585. Details of each certification follow.

Skilled nursing facility certification: CCN 165425

Legal name
CHEROKEE CARE LLC
Doing business as
ACCURA HEALTHCARE OF CHEROKEE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 25, 2000
Last certification
Oct 10, 2024
Beds
44
Ownership / control type
Corporation
Multi-facility organization
Accura Healthcare
Organization structure
LLCProprietary
Enrollment address
921 Riverview Dr
Cherokee, IA 51012-1492
Nursing home name
ACCURA HEALTHCARE OF CHEROKEE, LLC
Affiliated entity
ACCURA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Accura Healthcare of Cherokee, LLCCCN 165425 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 25, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4437.5 residents per day on average
Chain
Accura Healthcare41 facilities in the chain
Penalties (3 years)
1Fines totaling $8,021

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0385040Accura Healthcare of Cherokee921 Riverview Drive, Cherokee, IA 51012Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

921 Riverview Dr
Cherokee, IA 51012
Phone (712) 225-5724

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
American Healthcare Management Services LLC Organization, West Des Moines, IA LLC, For-profit Operational/Managerial Control Jan 1, 2016 100%
Adp of the SNF Nov 13, 2025
Ted a Leneave Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2020 100%
Corporate OfficerCeo Jan 1, 2016
Adp of the SNF Jan 1, 2016
Samantha Dewitt Individual Operational/Managerial Control Jul 22, 2024
Adp of the SNF Jul 22, 2024
PH Pomeroy LLC Organization, Santa Rosa, CA Created for acquisition, LLC 5% Or Greater Mortgage Interest Jun 13, 2025 100%
Adp of the SNF Jun 13, 2025
Lisa Toti Individual Corporate Officer Jan 1, 2016
Adp of the SNF Jan 1, 2016
Accura Healthcare Organization, West Des Moines, IA Created for acquisition, LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 1, 2016 100%
Christopher J Vandelune Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Cherokee Care LLC Organization, Cherokee, IA LLC, For-profit Operational/Managerial Control Jan 1, 2016
Adp of the SNF Nov 13, 2025
Organization, Urbandale, IA Consulting firm Adp of the SNF Nov 13, 2025
Organization, Springfield, MO Consulting firm Adp of the SNF Nov 13, 2025
Gemino Healthcare Finance LLC Organization, Philadelphia, PA Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Jan 9, 2025
American Healthcare Associates Inc Organization, West Des Moines, IA Created for acquisition, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 28, 1999 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1336100585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 RIVERVIEW DR",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121578",
            "telephone_number": "712-225-5724",
            "fax_number": "712-225-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 RIVERVIEW DR",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121578",
            "telephone_number": "712-225-5724",
            "fax_number": "712-225-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "ZIMBELMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-232-9573"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "180966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805143",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherokee, IA

Sources for this page

Verify at the official NPI Registry.