Fellowship Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-0572 Issued in IA

Legal business name

FELLOWSHIP VILLAGE

Practice address

300 E Jefferson St
Inwood, IA 51240-7766

Phone

(712) 753-4663

Fax

(712) 753-4666

NPI assigned

Feb 24, 2006

Organization subpart

No

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

Authorized official

Name

Emily R Jones

Title

Administrator

Phone

(712) 753-4663

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Skilled nursing facility certification: CCN 165283

Legal name

FELLOWSHIP VILLAGE

Doing business as

FELLOWSHIP VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1996

Last certification

Sep 5, 2024

Beds

40

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 1, 1989 in IA

Enrollment address

300 E Jefferson St
Inwood, IA 51240-7766

Nursing home name

FELLOWSHIP VILLAGE

Listed as

Fellowship VillageCCN 165283 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4036.1 residents per day on average

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 1

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

Affiliated clinicians 2

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

• Paul W Dejong, MD

  • Family Medicine Physician
  • Sioux Center, IA
  • NPI 1801096599

  Nursing home

  Care Compare affiliation
• Michelle L Johnson, DO

  • Family Medicine Physician
  • Canton, SD
  • NPI 1912107426

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1356317820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E JEFFERSON ST",
            "city": "INWOOD",
            "state": "IA",
            "postal_code": "512407766",
            "telephone_number": "712-753-4663",
            "fax_number": "712-753-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E JEFFERSON ST",
            "city": "INWOOD",
            "state": "IA",
            "postal_code": "512407766",
            "telephone_number": "712-753-4663",
            "fax_number": "712-753-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-753-4663"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-0572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0807891",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolene Kay Bruns
• Jori Lee Gulker
• West Lyon Community School District
• West Lyon Community School District

• Skilled Nursing Facility in Inwood, IA
• Providers in Inwood, 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 May 16, 2022; 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.