Organization Active NPI

Evans Memorial Home for the Aged, Inc.

Doing business as Cresco Assisted Living

  • Assisted Living Facility
  • Cresco, IA
National Provider Identifier
1407073893
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0210 Issued in IA
Legal business name
EVANS MEMORIAL HOME FOR THE AGED, INC.
Doing business as
Cresco Assisted Living
Evans Senior Living Community Assisted LIving
Practice address
1004 N Elm St
Cresco, IA 52136-1097
Phone
(563) 547-2580
Fax
(563) 547-5013
NPI assigned
Apr 19, 2007
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Brendon Kacher
Title
Board President
Phone
(563) 419-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0210 IA Primary

Addresses

Primary practice location

1004 N Elm St
Cresco, IA 52136-1097

Mailing address

1004 N Elm St
Cresco, IA 52136-1097
Phone (563) 547-2580

Other identifiers 1

IdentifierTypeStateIssuer
0461590MedicaidIA

Other names 2

  • Cresco Assisted Living Doing business as
  • Evans Senior Living Community Assisted LIving Doing business as

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
16D1042690Cresco Assisted Living1004 North Elm Street, Cresco, IA 52136Certificate of waiverJul 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cresco Assisted Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1407073893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N ELM ST",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361097",
            "telephone_number": "563-547-2580",
            "fax_number": "563-547-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N ELM ST",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361097",
            "telephone_number": "563-547-2580",
            "fax_number": "563-547-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS MEMORIAL HOME FOR THE AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "KACHER",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "563-419-2793"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461590",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cresco Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cresco Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evans Senior Living Community Assisted LIving",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cresco, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.