Golden Age Properties LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOLDEN AGE PROPERTIES LLC

Doing business as

Golden Age Care Center

Practice address

1915 S 18TH St
Centerville, IA 52544-3102

Phone

(641) 856-2761

Fax

(641) 856-2762

NPI assigned

Sep 11, 2014

Last updated

Aug 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James E Wilkes

Title

Managing Member

Phone

(319) 626-4710

Specialties & licenses 1

Addresses

Other names 1

• Golden Age Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457752297. Details of each certification follow.

• CCN 165257 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165257

Legal name

GOLDEN AGE PROPERTIES LLC

Doing business as

GOLDEN AGE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1995

Last certification

Aug 22, 2024

Beds

46

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1915 S 18TH St
Centerville, IA 52544-3102

Nursing home name

GOLDEN AGE CARE CENTER

Listed as

Golden Age Care CenterCCN 165257 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4636.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 31

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 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  Adp of the SNF

  CMS ownership
• Robert D Conner, DO

  • Geriatric Medicine (Family Medicine) Physician
  • West Des Moines, IA
  • NPI 1447363700

  Direct Ownership Interest, Managing Control - Governing Body

  CMS ownership
• Guardian Pharmacy of Iowa LLC

  • Long Term Care Pharmacy
  • Ankeny, IA
  • NPI 1376055616

  Adp of the SNF

  CMS ownership
• Guardian Pharmacy of Iowa LLC

  • Long Term Care Pharmacy
  • Cedar Rapids, IA
  • NPI 1447762885

  Adp of the SNF

  CMS ownership
• Guardian Pharmacy of Iowa LLC

  dba Right Dose Pharmacy

  • Long Term Care Pharmacy
  • Storm Lake, IA
  • NPI 1912746637

  Adp of the SNF

  CMS ownership
• Shipeng Wei, MD

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1023469798

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

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

• Jennifer Marie Kalisz, LISW

  • Clinical Social Worker
  • Marshalltown, IA
  • NPI 1194348532

  Nursing home

  Care Compare affiliation
• Kathleen A Lange, M.D.

  • Family Medicine Physician
  • Centerville, IA
  • NPI 1811085848

  Nursing home

  Care Compare affiliation
• Cassie Parrish, ARNP

  • Adult Health Nurse Practitioner
  • Centerville, IA
  • NPI 1720346232

  Nursing home

  Care Compare affiliation
• Stacy Meitler

  • Nurse Practitioner
  • Livonia, MI
  • NPI 1205297876

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1457752297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 S 18TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525443102",
            "telephone_number": "641-856-2761",
            "fax_number": "641-856-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 S 18TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525443102",
            "telephone_number": "641-856-2761",
            "fax_number": "641-856-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "319-626-4710"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Age Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabitha Farris
• First Resources Corp
• David B Fraser, MD
• Fresenius Medical Care Cline Dialysis, LLC (Fresenius Medical Care Cline Family Dialysis Center)
• Bailee Geitzenauer, ARNP, FNP-C
• Golden Age, Inc. (Golden Age Skilled Nursing & Rehab)
• Lauren Nicole Gonnerman
• Paula Sue Gordy, LISW
• Haden Family Medicine PC
• Jennifer D Haden, D.O.

• Skilled Nursing Facility in Centerville, IA
• Providers in Centerville, 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 26, 2021; 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.