NPIMap

Organization Active NPI

St Anthony Regional Hospital and Nursing Home

  • Community Based Hospice Care Agency
  • Carroll, IA
National Provider Identifier
1467432591
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
Practice address
1524 E US Highway 30
Carroll, IA 51401-2659
Phone
(712) 794-5279
Fax
(712) 794-5937
NPI assigned
Jan 17, 2006
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Eric Salmonson
Title
Cfo
Phone
(712) 794-5424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1524 E US Highway 30
Carroll, IA 51401-2659

Mailing address

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

Other identifiers 2

IdentifierTypeStateIssuer
0615468MedicaidIA
161546OtherMEDICARE OSCAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000387 IA Part A Provider - Hospice 4688586829 Practice locations: Carroll, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467432591. Details of each certification follow.

Hospice certification: CCN 161546

Legal name
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 7, 1995
Last certification
May 5, 2022
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Enrollment address
1524 E US Highway 30
Carroll, IA 51401-2659

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
St. Anthony Regional Hospital and Nursing HomeCCN 161546 · All quality measures
Ownership
Non-Profit
Certified
Dec 7, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
St Anthony Reg Hosp11 organizations share this tax ID, including this one
Part of
St Anthony Reg Hosp

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Matthew Greteman Individual Corporate DirectorTreasurer Jul 1, 2024
Jeff Koster Individual Corporate Director Jul 1, 2024
Deb Auen Individual Corporate DirectorVice Chair Jul 1, 2020
Carly M Quam Individual Corporate Director Jan 1, 2025
Nicole Schwering Individual W-2 Managing Employee Jan 1, 2024
Michele Pettit Individual Corporate Director Jul 1, 2021
Karl Eischeid Individual Corporate Director Jul 1, 2018
Richard Hunsaker Individual Corporate Director Jul 1, 2025
Rose Elsbernd Individual Corporate DirectorSecretary Jul 1, 2020
St Anthony Regional Hospital and Nursing Home Organization, Carroll, IA Non-profit Operational/Managerial Control Nov 1, 1997
Jeff Scharfenkamp Individual Corporate OfficerChairman Jul 1, 2023
Corporate Director Jul 1, 2019
Eric Salmonson Individual Corporate Officer Jul 1, 2022
W-2 Managing EmployeeVP Cfo Jul 1, 2022
Operational/Managerial ControlVP Cfo Jul 1, 2023
John Strautman Individual Corporate Director Jul 1, 2025
Jennifer Wollesen Individual Corporate Director Jul 1, 2025
Joanne Moeller Individual Corporate Director Jul 1, 2023
Allen K Anderson Individual Corporate OfficerPresident/Ceo Jun 20, 2022
W-2 Managing Employee Jun 20, 2022
Operational/Managerial Control Jun 20, 2022

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
BCG Data ServicesCarroll, IA, CCN 165796 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2025
Jul 1, 2025
Jul 1, 2025
St Anthony Regional Hospital & Nursing HomeCarroll, IA, CCN 167207 Home health agency Operational/Managerial Control Nov 1, 1997
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 163400 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 28, 1904

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1467432591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-3581",
            "fax_number": "712-792-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 E US HIGHWAY 30",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012659",
            "telephone_number": "712-794-5279",
            "fax_number": "712-794-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SALMONSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-794-5424"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615468",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "161546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.