NPIMap

Organization Active NPI

Mason City Area Nursing Home Association, Inc.

Doing business as Mason City Area Nursing Home

  • Skilled Nursing Facility
  • Mason City, IL
National Provider Identifier
1487645024
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0034256 Issued in IL
Legal business name
MASON CITY AREA NURSING HOME ASSOCIATION, INC.
Doing business as
Mason City Area Nursing Home
Practice address
520 N Price St
Mason City, IL 62664-9600
Phone
(217) 482-5022
Fax
(217) 482-3220
NPI assigned
Nov 2, 2005
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Mr. David M Underwood
Title
Sr. VP & Cfo
Phone
(309) 823-7135

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0034256 IL Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 034256 IL

Addresses

Primary practice location

520 N Price St
Mason City, IL 62664-9600

Mailing address

115 W Jefferson St
Suite 401
Bloomington, IL 61701-3946
Phone (309) 828-4361

Other names 1

  • Mason City Area Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000490 IL Part A Provider - Skilled Nursing Facility 1456527100 Practice locations: Mason City, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487645024. Details of each certification follow.

Skilled nursing facility certification: CCN 145616

Legal name
MASON CITY AREA NURSING HOME ASSOCIATION, INC.
Doing business as
MASON CITY AREA NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 30, 1989
Last certification
Dec 4, 2024
Beds
97
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1984 in IL
Enrollment address
520 N Price St
Mason City, IL 62664-9600
Nursing home name
MASON CITY AREA NURSING HOME
Affiliated entity
HERITAGE OPERATIONS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mason City Area Nursing HomeCCN 145616 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
May 30, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9766.9 residents per day on average
Chain
Heritage Operations Group9 facilities in the chain
Penalties (3 years)
1Fines totaling $160,007

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Mason City Area Nursing Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Patti Strader Individual Corporate Director Sep 1, 2020
Karen Renken Individual Corporate Director Sep 7, 2016 10%
Robert Griffin Individual Corporate Officer Sep 7, 2016 10%
Kayla R Miller Individual Corporate DirectorMedical Director Apr 1, 2019
Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Sharon K Herpstreith Individual Corporate DirectorRegional Director of Operations Mar 1, 2024
Kirbey Hull Individual Corporate DirectorAdministrator Jul 17, 2023
Operational/Managerial Control Jul 17, 2023
Adp of the SNF Feb 9, 2026
Kraig Kruse Individual Corporate Officer Sep 7, 2016 10%
Heritage Operations Group, LLC Organization, Bloomington, IL LLC, For-profit Operational/Managerial Control Aug 30, 2016 100%
Adp of the SNF Feb 26, 2025
Jim Sprinkel Individual Corporate DirectorBoard Member Sep 7, 2016
Cathy Nunn Individual Corporate DirectorBoard Member Jan 1, 2013
Benjamin a Hart Individual Operational/Managerial ControlPresident & Ceo Jan 5, 2014 30%
Daniel Curry Individual Corporate OfficerExec VP & Cfo Jun 11, 2022 20%
Steven Hart Individual Corporate OfficerCoo Jul 1, 2023
Bonnie Dunker Individual Corporate Director Jan 1, 2005

Owners & managing parties with NPI records 1

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1487645024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W JEFFERSON ST",
            "address_2": "SUITE 401",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013946",
            "telephone_number": "309-828-4361",
            "fax_number": "309-829-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PRICE ST",
            "city": "MASON CITY",
            "state": "IL",
            "postal_code": "626649600",
            "telephone_number": "217-482-5022",
            "fax_number": "217-482-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON CITY AREA NURSING HOME ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VP & CFO",
        "authorized_official_telephone_number": "309-823-7135",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0034256",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "034256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason City Area Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason City, IL

Sources for this page

Verify at the official NPI Registry.