Marian Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940496 Issued in IA

Legal business name

MARIAN HOME

Practice address

2400 6TH Ave N
Fort Dodge, IA 50501-3541

Phone

(515) 576-1138

Fax

(515) 576-5099

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Gerald J Bruening

Title

Administrator

Phone

(515) 576-5099

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Skilled nursing facility certification: CCN 165539

Legal name

MARIAN HOME

Doing business as

MARIAN HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 2004

Last certification

Apr 24, 2025

Beds

90

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Enrollment address

2400 6TH Ave N
Fort Dodge, IA 50501-3541

Nursing home name

MARIAN HOME

Listed as

Marian HomeCCN 165539

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Mar 1, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9073.0 residents per day on average

Penalties (3 years)

1Fines totaling $0

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 12

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.

• Kelli P Wallace, MD

  • Family Medicine Physician
  • Fort Dodge, IA
  • NPI 1518939867

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Bryan Ferrell

  • Family Nurse Practitioner
  • Fort Dodge, IA
  • NPI 1649043795

  Nursing home

  Care Compare affiliation
• Sarah Jo Schluter, MSN ARNP FNP

  • Family Nurse Practitioner
  • Humboldt, IA
  • NPI 1346754686

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376549972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 6TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013541",
            "telephone_number": "515-576-1138",
            "fax_number": "515-576-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 6TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013541",
            "telephone_number": "515-576-1138",
            "fax_number": "515-576-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUENING",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-576-5099"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "940496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802538",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasaiah Makam, MD
• Susejed Ann Mananquil
• Manz Pastoral Counseling LLC
• Matthew Manz, LMHC
• Maria K Becker DDS PC
• Mark A Marner, MD
• Jatessa Jate Linn Martin
• Julia Nicole Martine
• Charles Mason
• Joshua Joe Mason, DC

• Skilled Nursing Facility in Fort Dodge, IA
• Providers in Fort Dodge, 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 Aug 22, 2020; 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.