Prairie View Leasing

Organization Active NPI Skilled Nursing Facility · Sanborn, IA

NPI 1487715751 · NPPES record last updated Oct 11, 2011

Key facts

NPI
1487715751
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
N-410 (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
Organization subpart
No

Authorized official

Name
Wendy M Nelson III
Title
Administartor
Phone
(712) 930-3228

Owners & managing parties with NPI records 5

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

Corporate family (same tax ID) 1

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

Affiliated clinicians 3

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

Medicare Care Compare: Nursing home

Listed as
Prairie View Home CCN 165574
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
Active (Provider of Services file)
Certified beds
55 · 43.1 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

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
Corporation · Non-profit
Enrollment address
610 N Eastern St
Sanborn, IA 51248-1089
Nursing home name
PRAIRIE VIEW HOME

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.

NameRoleSinceShare

Individual
Adp of the SNF Mar 1, 2021
Charlotte F Kooima
Individual
Adp of the SNF Jan 1, 2022
James Patrick Cravens
Individual
Corporate Officer
Treasurer
Mar 1, 1982 11%
Corporate Director
Board Member
Mar 1, 1982 9%

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024
NCS Healthcare of Iowa, LLC
Organization · Urbandale, IA
LLC
Adp of the SNF Mar 1, 2021

Individual
Adp of the SNF Oct 1, 2024
Thomas Nelson
Individual
Operational/Managerial Control May 17, 2021

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024
Lowell D Appleton
Individual
Corporate Director
Board Member
Aug 1, 2009 9%

Individual
Adp of the SNF Oct 1, 2024
Blue Stone Therapy Inc
Organization · Urbandale, IA
Corporation
Adp of the SNF Mar 17, 2023

Individual
Adp of the SNF Mar 1, 2021
Brent Vanderwerff
Individual
Corporate Director
Director
Mar 1, 2018
Mackenzie Jenness
Individual
Corporate Director
Director
Mar 1, 2025
Magdelena Schwarz
Individual
Operational/Managerial Control Jun 25, 2024
Karissa a Getting
Individual
Corporate Director
Director
May 1, 2023

Individual
Adp of the SNF Oct 1, 2024
Wendy Marie Nelson
Individual
Operational/Managerial Control Feb 7, 2025

Individual
Adp of the SNF Mar 1, 2021
John Haack
Individual
Corporate Director
Director
Mar 1, 2023

Individual
Adp of the SNF Mar 1, 2021

Individual
Adp of the SNF Oct 1, 2024
Chris Wolters
Individual
Corporate Officer
President
Mar 1, 2017

Individual
Adp of the SNF Jun 1, 1998
Rdi Computer Networking
Organization · Milford, IA
Corporation, Consulting firm
Adp of the SNF Dec 31, 2024

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024
Cattail Inc
Organization · Muscatine, IA
Corporation
Adp of the SNF Oct 1, 2024
Jeffery Kroese
Individual
Corporate Director Aug 1, 2022
BCG Holdings Inc
Organization · Waukee, IA
Corporation
Adp of the SNF Oct 1, 2024
Rachel Wilson
Individual
Operational/Managerial Control May 25, 2017
Nancy Vandyke
Individual
Corporate Officer
Secretary
Mar 1, 2016

Individual
Adp of the SNF Oct 1, 2024
Iowa Health Care Association
Organization · West Des Moines, IA
Corporation
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Jun 1, 1998
Stacey Dagel
Individual
Operational/Managerial Control Nov 24, 1972
Jennifer Prins
Individual
Corporate Officer
Secretary
Jul 1, 2022

Individual
Adp of the SNF Mar 1, 2021

Individual
Adp of the SNF Oct 1, 2024
Seth Postma
Individual
Corporate Officer Mar 1, 2021

Individual
Adp of the SNF Dec 31, 2024

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Mar 17, 2023

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024
Ecsi Inc
Organization · West Des Moines, IA
Corporation
Adp of the SNF Oct 1, 2024
Direct Ownership Interest Oct 1, 2024 25%

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Mar 1, 2021

Individual
Adp of the SNF Oct 1, 2024

Individual
Adp of the SNF Jun 1, 1998
Terry Leslie Boelter
Individual
Corporate Director
Board Member
Apr 1, 2004 9%
K F Murphy Co PC
Organization · Sheldon, IA
Corporation
Adp of the SNF Jun 1, 1998

Individual
Adp of the SNF Mar 1, 2021
Dudley McDowell
Individual
Corporate Director
Board Member
Apr 14, 2014 11%

Individual
Adp of the SNF Mar 1, 2021
Scott a Lichty
Individual
Operational/Managerial Control Jan 3, 2007
Adp of the SNF Nov 21, 2025

Individual
Adp of the SNF Mar 1, 2021
Cattail BCG LLC
Organization · Muscatine, IA
LLC
Adp of the SNF Oct 1, 2024
Jeffrey P Queck
Individual
Corporate Director
Board Member
Jan 1, 1998 9%

Individual
Adp of the SNF Oct 1, 2024
Brighton Consulting Group LLC
Organization · Urbandale, IA
LLC, Consulting firm
Adp of the SNF Oct 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111017000010 IA Part a Provider - Skilled Nursing Facility 1456369370 Practice locations: Sanborn, IA

National Provider Directory

Tax ID family
Prairie View (2 organizations share this tax ID)

Locations

610 N Eastern St
Sanborn, IA 51248
Phone (712) 728-2702

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X N-410 IA Yes

Addresses

Primary practice location

610 N Eastern St
Sanborn, IA 51248-1089

Mailing address

610 N Eastern St
Sanborn, IA 51248-1089
Phone (712) 930-3228

Other identifiers

IdentifierTypeStateIssuer
0803320MedicaidIA

Other providers in Sanborn, IA

All providers in Sanborn, IA · Skilled Nursing Facility in Iowa

Sources for this page

Verify at the official NPI Registry.