Organization Active NPI

St Francis Manor Inc

Doing business as St. Francis Manor

  • Skilled Nursing Facility
  • Grinnell, IA
National Provider Identifier
1457343261
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
790736 Issued in IA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0803734MedicaidIA

Other names 1

  • St. Francis Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 ManorCCN 165480 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7858.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
16D0382748St Francis Manor2021 Fourth Avenue, Grinnell, IA 50112Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Nov 22, 2024
Individual Adp of the SNF Jun 30, 2018
Miranda Anderson Individual Operational/Managerial Control Nov 16, 2018
Craig Probasco Individual Operational/Managerial Control May 31, 2022
Individual Adp of the SNF Aug 1, 2024
Lyndsey G Warnick Individual Corporate DirectorDirector Oct 31, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Jan 20, 2014
Lance Horbach Individual Corporate DirectorDirector Oct 31, 2024
Lee G McFee Individual Corporate OfficerVice President Oct 31, 2024
Todd Honold Individual Corporate DirectorDirector Mar 1, 2023
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Dion Roy Schrack Individual Operational/Managerial Control Jan 1, 1982
Adp of the SNF Feb 13, 2026
Individual Adp of the SNF Aug 1, 2020
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Brian J Heineman Individual Operational/Managerial Control Dec 1, 2010
Adp of the SNF Feb 13, 2026
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Jul 1, 2022
James Thorndike Individual Corporate DirectorDirector Oct 28, 2017
Kent E Brown Individual Corporate OfficerSecretary Oct 31, 2024
Cynthia Strobel Individual Operational/Managerial Control Feb 10, 2012
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Gary Downey Individual Corporate DirectorDirector Oct 31, 2024
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Teryl Verploeg Individual Corporate OfficerPresident Oct 31, 2024
Global Reach Internet Productions LLC Organization, Ames, IA LLC Adp of the SNF Jan 20, 2014
Samantha Bryan Individual Corporate DirectorDirector Oct 1, 2017
Individual Adp of the SNF Aug 1, 2024
Creative Planning Hold Co LLC Organization, Waterloo, IA LLC Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Jan 20, 2014
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Jan 20, 2014
Key Rehabilitation Inc Organization, Murfreesboro, TN Corporation, Consulting firm Adp of the SNF Oct 1, 2021
Kory Probasco Individual Operational/Managerial Control Feb 19, 2018
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm Adp of the SNF Oct 1, 2024
Individual 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.

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.

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "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

Sources for this page

Verify at the official NPI Registry.