Edgewood Convalescent Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

280322 Issued in IA

Legal business name

EDGEWOOD CONVALESCENT HOME, INC.

Practice address

513 Bell St
Edgewood, IA 52042-0039

Phone

(563) 928-6461

Fax

(563) 928-6462

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Kristen Arthur

Title

Board Secretary/Treasurer

Phone

(563) 928-6461

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Edgewood Convalescent Home Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Skilled nursing facility certification: CCN 165379

Legal name

EDGEWOOD CONVALESCENT HOME INC

Doing business as

EDGEWOOD CONVALESCENT HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1998

Last certification

Oct 31, 2024

Beds

56

Ownership / control type

Corporation

Multi-facility organization

Edgewood Convalescent Home Inc.

Organization structure

CorporationProprietary

Enrollment address

513 S Bell St
Edgewood, IA 52042-8543

Nursing home name

EDGEWOOD CONVALESCENT HOME

Affiliated entity

EDGEWOOD CONVALESCENT HOME

Listed as

Edgewood Convalescent HomeCCN 165379

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5641.9 residents per day on average

Chain

Edgewood Convalescent Home5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Edgewood Convalescent Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Edgewood Convalescent Home Inc

  • Skilled Nursing Facility
  • Edgewood, IA
  • NPI 1215155544
  NPD tax ID
• Edgewood Convalescent Home Inc

  • Assisted Living Facility
  • Edgewood, IA
  • NPI 1306064639
  NPD tax ID

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Elkader Care LLC

  • Skilled Nursing Facility
  • Elkader, IA
  • NPI 1568135838

  Member Of

  NPD member
• McGregor Care LLC

  • Skilled Nursing Facility
  • MC Gregor, IA
  • NPI 1659044923

  Member Of

  NPD member

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.

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

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

• Elkader Care LLC

  • Skilled Nursing Facility
  • Elkader, IA
  • NPI 1568135838

  Adp of the SNF, Direct Ownership Interest

  CMS ownership
• McGregor Care LLC

  • Skilled Nursing Facility
  • MC Gregor, IA
  • NPI 1659044923

  Adp of the SNF, Direct Ownership Interest

  CMS ownership

Affiliated clinicians 5

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

• Scot R Christiansen, M.D.

  • Hospitalist Physician
  • Manchester, IA
  • NPI 1417955089

  Nursing home

  Care Compare affiliation
• Michele L Dikkers, D.O.

  • Family Medicine Physician
  • Guttenberg, IA
  • NPI 1609865435

  Nursing home

  Care Compare affiliation
• Stephanie Gudenkauf, NP

  • Family Nurse Practitioner
  • Manchester, IA
  • NPI 1659800480

  Nursing home

  Care Compare affiliation
• Nikolas S May, M.D.

  • Family Medicine Physician
  • Manchester, IA
  • NPI 1508156159

  Nursing home

  Care Compare affiliation
• Sara Mae McCool, ARNP

  • Primary Care Nurse Practitioner
  • Manchester, IA
  • NPI 1932857810

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1497715494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S BELL ST",
            "city": "EDGEWOOD",
            "state": "IA",
            "postal_code": "520428543",
            "telephone_number": "563-928-6461",
            "fax_number": "563-928-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BELL ST",
            "city": "EDGEWOOD",
            "state": "IA",
            "postal_code": "520420039",
            "telephone_number": "563-928-6461",
            "fax_number": "563-928-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CONVALESCENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "BOARD SECRETARY/TREASURER",
        "authorized_official_telephone_number": "563-928-6461"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "280322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801084",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "16D0671499",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Convalescent Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edgewood Convalescent Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Edgewood
• Delaware County Memorial Hospital
• Edgewood Convalescent Home Inc
• Edgewood Convalescent Home Inc
• Edgewood-Colesburg Community School District
• Family Medicine Associates PC
• Amy Lynn Gassmann, P.T.
• Guttenberg Municipal Hospital
• Brianna Hegtvedt, OTR/L

• All providers in Edgewood, IA
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.