Prairie View Leasing

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-410 Issued in IA

Legal business name

PRAIRIE VIEW LEASING

Practice address

610 N Eastern St
Sanborn, IA 51248-1089

Phone

(712) 930-3228

Fax

(712) 930-3138

NPI assigned

Dec 12, 2006

Last updated

Oct 11, 2011By 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

Wendy M Nelson III

Title

Administartor

Phone

(712) 930-3228

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487715751. Details of each certification follow.

• CCN 165574 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165574

Legal name

PRAIRIE VIEW LEASING

Doing business as

PRAIRIE VIEW HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 2006

Last certification

Aug 8, 2024

Beds

55

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

610 N Eastern St
Sanborn, IA 51248-1089

Nursing home name

PRAIRIE VIEW HOME

Listed as

Prairie View HomeCCN 165574 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Oct 1, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5543.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Prairie View2 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.

• Prairie View

  • Nursing Facility/Intermediate Care Facility
  • Sanborn, IA
  • NPI 1932193059
  NPD tax ID

All disclosed owners & managing parties 69

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 5

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
• Terry Leslie Boelter, D.D.S.

  • General Practice Dentistry
  • Sanborn, IA
  • NPI 1568538775

  Corporate Director

  CMS ownership
• Karissa Getting

  • Family Nurse Practitioner
  • Rock Valley, IA
  • NPI 1588034508

  Corporate Director

  CMS ownership
• Scott Alan Lichty, M.D.

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1124129127

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• NCS Healthcare of Iowa, LLC

  dba Martin Health Urbandale 48236

  • Long Term Care Pharmacy
  • Urbandale, IA
  • NPI 1770695884

  Adp of the SNF

  CMS ownership

Affiliated clinicians 3

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

• Amy Margreta Badberg, M.D.

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1588746515

  Nursing home

  Care Compare affiliation
• Scott Alan Lichty, M.D.

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1124129127

  Nursing home

  Care Compare affiliation
• Amy L Wingert, M.D.

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1912345992

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1487715751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N EASTERN ST",
            "city": "SANBORN",
            "state": "IA",
            "postal_code": "512481089",
            "telephone_number": "712-930-3228",
            "fax_number": "712-930-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N EASTERN ST",
            "city": "SANBORN",
            "state": "IA",
            "postal_code": "512481089",
            "telephone_number": "712-930-3228",
            "fax_number": "712-930-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VIEW LEASING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTARTOR",
        "authorized_official_telephone_number": "712-930-3228",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Chiropractic, P.C.
• Jamie J. Gross, D.D.S.
• Jacqueline Dee Kramer, ARNP
• Mitchell Ludwig, DC
• Prairie View
• Melissa S Rupp, DC
• Sanborn Chiropractic Clinic PC
• Sanford Health Network (Sanford Clinic Sanborn)
• Sanford Health Network (Sanford Clinic Sanborn)
• Terry L Boelter DDS PC

• Skilled Nursing Facility in Sanborn, IA
• Providers in Sanborn, 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 Oct 11, 2011; 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.