Meth Wick Community
Organization Active NPI Skilled Nursing Facility · Cedar Rapids, IA
NPI 1497740443 · NPPES record last updated Jan 30, 2008
Key facts
- NPI
- 1497740443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 165542 (IA)
- Legal business name
- METH WICK COMMUNITY
- Practice address
- 1224 13TH St NW
Cedar Rapids, IA 52405-2404 - Phone
- (319) 365-9171
- Fax
- (319) 364-5033
- NPI assigned
- Sep 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan Schmitt
- Title
- Administrator
- Phone
- (319) 365-9171
Owners & managing parties with NPI records 1
-
Clete B Younger, M.D.
Affiliated clinicians 6
-
Cailey Anderson, ARNP
-
John Brownell, MD
-
Matthew Fox, MD
-
Samantha Nicole Ryan, ARNP
-
Trisha Sheeley, MD
Medicare Care Compare: Nursing home
- Listed as
- Meth-Wick Health Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jul 1, 2004
- Medicare certification status
- Active
- Certified beds
- 69 · 57.3 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0893117 | Meth-Wick Health Center | Certificate of waiver | Oct 13, 2026 |
| 16D2191700 | The Meth-Wick Community | Certificate of waiver | Aug 30, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Skilled nursing facility certification: CCN 165542
- Legal name
- METH WICK COMMUNITY
- Doing business as
- METH-WICK HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2004
- Last certification
- Aug 15, 2024
- Beds
- 69
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 1625 Brendelwood Dr NW
Cedar Rapids, IA 52405-1584 - Nursing home name
- METH-WICK HEALTH CENTER
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Kathleen Horan |
Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Clete B Younger |
Adp of the SNF | Feb 1, 2025 | |
| Amber Elizabeth Jedlicka |
Corporate Director | Apr 1, 2017 | |
| Adp of the SNF | Aug 1, 2025 | ||
| Ronald Joseph Jaeger |
Operational/Managerial Control | Sep 17, 1990 | |
| Adp of the SNF | Sep 17, 1990 | ||
| Meth Wick Community |
5% Or Greater Direct Ownership Interest | Jul 1, 2004 | 100% |
| Operational/Managerial Control | Aug 1, 2000 | ||
| Adp of the SNF | Aug 1, 2000 | ||
| Nicholas Jedlicka |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Feb 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000467 | IA | Part a Provider - Skilled Nursing Facility | 6103738208 | Practice locations: Cedar Rapids, IA |
National Provider Directory
Locations
1625 Brendelwood Dr NW
Cedar Rapids, IA 52405
Phone (319) 365-9171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 165542 | IA | Yes |
Addresses
Primary practice location
1224 13TH St NW
Cedar Rapids, IA 52405-2404
Mailing address
1224 13TH St NW
Cedar Rapids, IA 52405-2404
Phone (319) 365-9171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0802678 | Medicaid | IA | |
| 65542 | Other | IA | BLUE CROSS BLUE SHEILD |
Other providers in Cedar Rapids, IA
- Micaela Mesch
- Elizabeth Marie Mescher
- Craig Meskimen
- Dana Jacob Messenger
- Rodney Allen Messner
- Robert J Metzger III
- Christopher Louis Meurer
- Aaron Joseph Meyer
- Abby Kathleen Meyer
- Brandi Meyer
All providers in Cedar Rapids, IA · Skilled Nursing Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.