Organization Active NPI

Care Initiatives

Doing business as Kingsley Specialty Care

  • Skilled Nursing Facility
  • Kingsley, IA
National Provider Identifier
1467422907
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
750184 Issued in IA
Legal business name
CARE INITIATIVES
Doing business as
Kingsley Specialty Care
Practice address
305 W 3Rd St
Kingsley, IA 51028-5064
Phone
(515) 224-4442
Fax
(712) 378-3522
NPI assigned
Jan 26, 2006
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Mr. David Dixon
Title
SVP/Cfo
Phone
(515) 224-4442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Skilled Nursing Facility 314000000X 750184 IA Primary

Addresses

Primary practice location

305 W 3Rd St
Kingsley, IA 51028-5064

Mailing address

1611 West Lakes Parkway
West Des Moines, IA 50266
Phone (515) 224-4442

Other identifiers 2

IdentifierTypeStateIssuer
0653295MedicaidIA
0808048MedicaidIA

Other names 1

  • Kingsley Specialty Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000016 IA Part A Provider - Skilled Nursing Facility 3870575350 Practice locations: Kingsley, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467422907. Details of each certification follow.

Skilled nursing facility certification: CCN 165329

Legal name
CARE INITIATIVES
Doing business as
KINGSLEY SPECIALTY CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 8, 1997
Last certification
Sep 13, 2024
Beds
43
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Care Initiatives
Organization structure
CorporationNon-profit
Enrollment address
305 W 3Rd St
Box 10
Kingsley, IA 51028-5064
Nursing home name
KINGSLEY SPECIALTY CARE
Affiliated entity
CARE INITIATIVES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kingsley Specialty CareCCN 165329 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 8, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4332.9 residents per day on average
Chain
Care Initiatives43 facilities in the chain
Penalties (3 years)
1Fines totaling $27,378

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
16D0385066Kingsley Specialty Care305 West Third Street, Kingsley, IA 51028Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

305 W 3rd St
#10
Kingsley, IA 51028
Phone (712) 378-2400

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin Childs Individual Corporate DirectorBoard Member Apr 1, 2023
Peter D Corless Individual Corporate DirectorBoard Member Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2024
Organization, Austin, TX Corporation, Medical provider/supplier Adp of the SNF Apr 9, 2025
Patricia Ann Wiltfang Individual Operational/Managerial Control Jun 20, 2025
Adp of the SNF Jul 15, 2025
Linda L Upmeyer Individual Corporate DirectorBoard Member Jun 29, 2022
Emily Drake Individual Corporate OfficerVP/Chief Legal Officer Feb 1, 2024
Michael a Jurgens Individual Adp of the SNF Jan 1, 2024
Organization, Clive, IA Corporation, Financial institution Adp of the SNF Apr 9, 2025
Jeramy D Kuhn Individual Corporate OfficerCorporate Compliance Officer Jun 25, 2008
Keith K Krein Individual Corporate DirectorBoard Member Jun 29, 2022
Computershare Corporate Trust Company, NA Organization, Saint Paul, MN Corporation, Investment firm 5% Or Greater Mortgage Interest Feb 1, 2025 16.19%
Adp of the SNF Apr 9, 2025
Care Initiatives Organization, Kingsley, IA Non-profit 5% Or Greater Direct Ownership Interest Nov 12, 2010 100%
Mary Jane Carothers Individual Corporate DirectorBoard Member Jan 1, 2023
Organization, Des Moines, IA Consulting firm Adp of the SNF Apr 9, 2025
Denise D Sturm Individual Corporate DirectorBoard Member Jan 1, 2021
Elizabeth Rust Individual Corporate DirectorBoard Member Jan 1, 2023
Organization, Milford, IA LLC, Medical staffing company Adp of the SNF Apr 9, 2025
Jessica McDyer Individual Corporate OfficerVice President of Skilled Nursing Feb 22, 2023
Michael W Beal Individual Corporate OfficerPresident/Ceo Jun 1, 2020
Corporate DirectorBoard Member Jun 1, 2020
Individual Adp of the SNF Jan 1, 2024
Tanya Gilyard Individual Corporate OfficerVP of Business Development May 23, 2025
Destiny Boeve Individual Operational/Managerial Control Jan 1, 2024
Lane Morrell Bowen Individual Corporate DirectorBoard Member Jan 1, 2021
David B Dixon Individual Corporate OfficerSVP/Cfo Jun 1, 2016
Organization, Urbandale, IA Corporation, Medical provider/supplier Adp of the SNF Apr 9, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 44

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Atlantic Specialty CareAtlantic, IA, CCN 165288 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Fonda Specialty CareFonda, IA, CCN 165312 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Westwood Specialty CareSioux City, IA, CCN 165271 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Care InitiativesKnoxville, IA, CCN 165308 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Crestview Specialty CareWest Branch, IA, CCN 165287 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Bedford Specialty CareBedford, IA, CCN 165292 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Northern Mahaska Specialty CareOskaloosa, IA, CCN 165274 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
State Center Specialty CareState Center, IA, CCN 165390 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
Dunlap Specialty CareDunlap, IA, CCN 165193 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Montezuma Specialty CareMontezuma, IA, CCN 165295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
Lantern Park Specialty CareCoralville, IA, CCN 165214 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Southridge Specialty CareMarshalltown, IA, CCN 165209 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Panora Specialty CarePanora, IA, CCN 165253 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Mechanicsville Specialty CareMechanicsville, IA, CCN 165263 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Pinnacle Specialty CareCedar Falls, IA, CCN 165298 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Ravenwood Specialty CareWaterloo, IA, CCN 165251 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Dubuque Specialty CareDubuque, IA, CCN 165228 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Northcrest Specialty CareWaterloo, IA, CCN 165165 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Heritage Specialty CareCedar Rapids, IA, CCN 165310 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
New London Specialty CareNew London, IA, CCN 165404 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Southern Hills Specialty CareOsceola, IA, CCN 165293 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Chariton Specialty CareChariton, IA, CCN 165305 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Eldora Specialty CareEldora, IA, CCN 165316 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Stratford Specialty CareStratford, IA, CCN 165270 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Centerville Specialty CareCenterville, IA, CCN 165225 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Manly Specialty CareManly, IA, CCN 165226 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Wapello Specialty CareWapello, IA, CCN 165452 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Correctionville Specialty CareCorrectionville, IA, CCN 165323 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Belle Plaine Specialty CareBelle Plaine, IA, CCN 165349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Cherokee Specialty CareCherokee, IA, CCN 165330 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Corning Specialty CareCorning, IA, CCN 165285 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Oakwood Specialty CareAlbia, IA, CCN 165313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Lamoni Specialty CareLamoni, IA, CCN 165314 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Parkridge Specialty CarePleasant Hill, IA, CCN 165345 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Avoca Specialty CareAvoca, IA, CCN 165294 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Lyon Specialty CareRock Rapids, IA, CCN 165215 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Laporte City Specialty CareLa Porte City, IA, CCN 165300 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Ridgewood Specialty CareOttumwa, IA, CCN 165223 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Corydon Specialty CareCorydon, IA, CCN 165222 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Nov 12, 2010
Sep 29, 1998
Sibley Specialty CareSibley, IA, CCN 165401 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Creston Specialty CareCreston, IA, CCN 165199 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Odebolt Specialty CareOdebolt, IA, CCN 165180 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Care Initatives Hospice GreenfieldGreenfield, IA, CCN 161595 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 4, 2014
Care Initiatives Hospice - OmahaOmaha, NE, CCN 281561 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 3, 2022

Facilities with the same owner 44

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 44

Practitioners & affiliated clinicians

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1467422907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WEST LAKES PARKWAY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-224-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 3RD ST",
            "city": "KINGSLEY",
            "state": "IA",
            "postal_code": "510285064",
            "telephone_number": "515-224-4442",
            "fax_number": "712-378-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "515-224-4442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "750184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0653295",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0808048",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsley Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingsley Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsley, IA

Sources for this page

Verify at the official NPI Registry.