Active NPI
Hearthstone, a Ministry of Wesleylife, LLC
Doing business as Jefferson Place
- Skilled Nursing Facility
- Pella, IA
National Provider Identifier
1336474915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 631119
- Legal business name
- HEARTHSTONE, A MINISTRY OF WESLEYLIFE, LLC
- Doing business as
- Jefferson Place
- Practice address
- 413 Jefferson St
Pella, IA 50219-1288 - Phone
- (641) 628-9857
- Fax
- (641) 628-9887
- NPI assigned
- Oct 15, 2009
- Last updated
- Jan 26, 2022
- Organization subpart
- Yes
- Parent organization
- WESLEY RETIREMENT SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rob Kretzinger
- Title
- Ceo
- Phone
- (515) 271-6791
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 631119 | IA | |
| Skilled Nursing Facility | 314000000X | 631119 | IA | Primary |
Addresses
Primary practice location
413 Jefferson St
Pella, IA 50219-1288
Mailing address
413 Jefferson St
Pella, IA 50219-1288
Phone (641) 628-9857
Other names 2
- Jefferson Place
- Pella Elder Care, LLC
National Provider Directory
National Provider Directory- Part of
- Wesley Retirement Services Inc
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba The Cottages
- Skilled Nursing Facility
- Pella, IA
- NPI 1093146060
Member Of
-
dba The Village, A WesleyLife Community
- Skilled Nursing Facility
- Indianola, IA
- NPI 1184601403
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1336474915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 JEFFERSON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191288",
"telephone_number": "641-628-9857",
"fax_number": "641-628-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 JEFFERSON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191288",
"telephone_number": "641-628-9857",
"fax_number": "641-628-9887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTHSTONE, A MINISTRY OF WESLEYLIFE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESLEY RETIREMENT SERVICES, INC.",
"enumeration_date": "2009-10-15",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "KRETZINGER",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "515-271-6791"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IA",
"license": "631119",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "631119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jefferson Place",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pella Elder Care, LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Pella Elder Care, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.