Active NPI
St Francis Manor Inc
Doing business as St. Francis Manor
- Skilled Nursing Facility
- Grinnell, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 790736
- Legal business name
- ST FRANCIS MANOR INC
- Doing business as
- St. Francis Manor
- Practice address
- 2021 4TH Ave
Grinnell, IA 50112-2064 - Phone
- (641) 236-7592
- Fax
- (641) 236-9202
- NPI assigned
- Aug 17, 2005
- Last updated
- Feb 6, 2013
- 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
- Danny C Carroll
- Title
- Chairperson
- Phone
- (641) 236-7592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 790736 | IA | Primary |
Addresses
Primary practice location
2021 4TH Ave
Grinnell, IA 50112-2064
Mailing address
2021 4TH Ave
Grinnell, IA 50112-2064
Phone (641) 236-7592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803734 | Medicaid | IA |
Other names 1
- St. Francis Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021202000037 | IA | Part A Provider - Skilled Nursing Facility | 2567370810 | Practice locations: Grinnell, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1457343261. Details of each certification follow.
Skilled nursing facility certification: CCN 165480
- Legal name
- ST FRANCIS MANOR INC
- Doing business as
- ST FRANCIS MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 2003
- Last certification
- Apr 17, 2025
- Beds
- 78
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 2021 4TH Ave
Grinnell, IA 50112-2064 - Nursing home name
- ST FRANCIS MANOR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St Francis Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 2003
- Medicare certification status
- Active
- Certified beds
- 78
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 |
|---|---|---|---|
| 16D0382748 | St Francis Manor | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 46
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 | Aug 1, 2024 | ||
| Adp of the SNF | Nov 22, 2024 | ||
| Adp of the SNF | Jun 30, 2018 | ||
| Miranda Anderson | Operational/Managerial Control | Nov 16, 2018 | |
| Craig Probasco | Operational/Managerial Control | May 31, 2022 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Lyndsey G Warnick | Corporate Director | Oct 31, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Jan 20, 2014 | ||
| Lance Horbach | Corporate Director | Oct 31, 2024 | |
| Lee G McFee | Corporate Officer | Oct 31, 2024 | |
| Todd Honold | Corporate Director | Mar 1, 2023 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Dion Roy Schrack | Operational/Managerial Control | Jan 1, 1982 | |
| Adp of the SNF | Feb 13, 2026 | ||
| Adp of the SNF | Aug 1, 2020 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Brian J Heineman | Operational/Managerial Control | Dec 1, 2010 | |
| Adp of the SNF | Feb 13, 2026 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Jul 1, 2022 | ||
| James Thorndike | Corporate Director | Oct 28, 2017 | |
| Kent E Brown | Corporate Officer | Oct 31, 2024 | |
| Cynthia Strobel | Operational/Managerial Control | Feb 10, 2012 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Gary Downey | Corporate Director | Oct 31, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Teryl Verploeg | Corporate Officer | Oct 31, 2024 | |
| Global Reach Internet Productions LLC | Adp of the SNF | Jan 20, 2014 | |
| Samantha Bryan | Corporate Director | Oct 1, 2017 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Creative Planning Hold Co LLC | Adp of the SNF | Aug 1, 2024 | |
| Adp of the SNF | Jan 20, 2014 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Jan 20, 2014 | ||
| Key Rehabilitation Inc | Adp of the SNF | Oct 1, 2021 | |
| Kory Probasco | Operational/Managerial Control | Feb 19, 2018 | |
| Brighton Consulting Group LLC | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 |
Owners & managing parties with NPI records 10
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Adolescent Medicine (Family Medicine) Physician
- Brooklyn, IA
- NPI 1548341035
Adp of the SNF, Operational/Managerial Control
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Hendersonville, TN
- NPI 1528136249
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Psychologist
- Gardner, KS
- NPI 1205106457
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- McIntosh, MN
- NPI 1295436970
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc.
- Psychologist
- Salem, MO
- NPI 1821335613
Adp of the SNF
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Grinnell, IA
- NPI 1881253151
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adolescent Medicine (Family Medicine) Physician
- Brooklyn, IA
- NPI 1548341035
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360108800000",
"number": "1457343261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501122064",
"telephone_number": "641-236-7592",
"fax_number": "641-236-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501122064",
"telephone_number": "641-236-7592",
"fax_number": "641-236-9202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS MANOR INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-17",
"last_updated": "2013-02-06",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "DANNY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHAIRPERSON",
"authorized_official_telephone_number": "641-236-7592"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "790736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0803734",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Francis Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grinnell, IA
- Jennifer Marie Slifer, DC
- Smith Family Chiropractic, P.C.
- David Michael Smith, D.D.S.
- Kyra Lynn Smith, LMSW
- Cory John Specht, DPT
- Shelby Stafford
- Star Medical Supplies Inc
- State University of Iowa (University of Iowa Health Care Medical Center-Grinnell Dialysis Center)
- Stensrud Counseling, Inc Dba Heartland Therapy Collective
- Rachael Stensrud
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.