Active NPI
Crystal Inc
Doing business as Westbrook Acres
- Skilled Nursing Facility
- Gladbrook, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 860029
- Legal business name
- CRYSTAL INC
- Doing business as
- Westbrook Acres
- Practice address
- 605 Garfield St
Gladbrook, IA 50635-9324 - Phone
- (641) 473-2016
- Fax
- (641) 473-2491
- NPI assigned
- Oct 25, 2006
- Last updated
- Aug 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Lange
- Title
- Owner
- Phone
- (515) 223-0758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 860029 | IA | Primary |
Addresses
Primary practice location
605 Garfield St
Gladbrook, IA 50635-9324
Mailing address
605 Garfield St
Gladbrook, IA 50635-9324
Phone (641) 473-2016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0809137 | Medicaid | IA |
Other names 1
- Westbrook Acres
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111205000031 | IA | Part A Provider - Skilled Nursing Facility | 7012824782 | Practice locations: Gladbrook, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1447334487. Details of each certification follow.
Skilled nursing facility certification: CCN 165446
- Legal name
- CRYSTAL INC
- Doing business as
- WESTBROOK ACRES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 2002
- Last certification
- Mar 6, 2025
- Beds
- 54
- Ownership / control type
- Corporation
- Multi-facility organization
- Crystal Inc.
- Organization structure
- Corporation
- Enrollment address
- 605 Garfield St
Gladbrook, IA 50635-9324 - Nursing home name
- WESTBROOK ACRES
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Karen Acres Healthcare Center
- Skilled Nursing Facility
- Urbandale, IA
- NPI 1295819225
7012824782
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Westbrook Acres
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 2002
- Medicare certification status
- Active
- Certified beds
- 54
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0647986 | Westbrook Acres | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Crystal Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 56
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Oct 1, 2024 | ||
| PM Acquisition LLC | Adp of the SNF | Mar 31, 2022 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Molly Barker | Operational/Managerial Control | Feb 5, 2024 | |
| Denman Cpa LLP | Adp of the SNF | Dec 1, 2011 | |
| Adp of the SNF | Jun 30, 2024 | ||
| Adp of the SNF | Mar 31, 2022 | ||
| Adp of the SNF | Jun 30, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Sharon Broome | Adp of the SNF | Apr 1, 2019 | |
| Marcee Wright | Operational/Managerial Control | Dec 16, 2005 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Mar 31, 2022 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Brett Thomsen | Operational/Managerial Control | Apr 24, 2018 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Careserv Technologies LLC | Adp of the SNF | Feb 2, 2018 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Elizabeth Brubaker | Operational/Managerial Control | Jan 22, 2021 | |
| Adp of the SNF | Sep 26, 2025 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Thomas J Johnsrud | Adp of the SNF | Mar 31, 2022 | |
| Fox Rehab SLP Ia PLLC | Adp of the SNF | Jun 30, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Cattail Inc | Adp of the SNF | Oct 1, 2024 | |
| Keya Thomsen | Operational/Managerial Control | Aug 18, 2020 | |
| Iowa Health Care Association | Adp of the SNF | Oct 1, 2024 | |
| Fox Rehab PT Ia PLLC | Adp of the SNF | Jun 30, 2024 | |
| Adp of the SNF | Jun 30, 2024 | ||
| Fox Rehab OT Ia LLC | Adp of the SNF | Jun 30, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Randall Lee Lange | 5% Or Greater Direct Ownership Interest | Oct 1, 1998 | 50% |
| Corporate Officer | Oct 1, 1998 | ||
| Adp of the SNF | Oct 1, 1998 | ||
| Steven T Scurr | Operational/Managerial Control | Nov 30, 2011 | |
| Adp of the SNF | Sep 26, 2025 | ||
| Ecsi Inc | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Cattail Consulting LLC | Adp of the SNF | Sep 30, 2022 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Feb 2, 2018 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Crystal L Even | 5% Or Greater Direct Ownership Interest | Jul 1, 2013 | 50% |
| Corporate Officer | Jul 1, 2013 | ||
| Adp of the SNF | Jul 1, 2013 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Feb 2, 2018 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Mar 31, 2022 | ||
| Cattail BCG LLC | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Mar 31, 2022 | ||
| Brighton Consulting Group LLC | Adp of the SNF | Oct 1, 2024 |
Owners & managing parties with NPI records 6
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Medicap Pharmacy LTC Waterloo
- Long Term Care Pharmacy
- Waterloo, IA
- NPI 1508339425
Adp of the SNF
-
dba Medicap Pharmacy LTC Iowa City
- Long Term Care Pharmacy
- Iowa City, IA
- NPI 1588900047
Adp of the SNF
-
- Family Medicine Physician
- Conrad, IA
- NPI 1053398800
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Grundy Center, IA
- NPI 1245227743
Affiliated clinicians 1
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": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344384000000",
"number": "1447334487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 GARFIELD ST",
"city": "GLADBROOK",
"state": "IA",
"postal_code": "506359324",
"telephone_number": "641-473-2016",
"fax_number": "641-473-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 GARFIELD ST",
"city": "GLADBROOK",
"state": "IA",
"postal_code": "506359324",
"telephone_number": "641-473-2016",
"fax_number": "641-473-2491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2012-08-08",
"status": "A",
"authorized_official_last_name": "LANGE",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-223-0758"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "860029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0809137",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westbrook Acres",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gladbrook, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.