Organization Active NPI

Meth Wick Community

  • Skilled Nursing Facility
  • Cedar Rapids, IA
National Provider Identifier
1497740443
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
165542 Issued in 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
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Mrs. Susan Schmitt
Title
Administrator
Phone
(319) 365-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 165542 IA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000467 IA Part A Provider - Skilled Nursing Facility 6103738208 Practice locations: Cedar Rapids, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497740443. Details of each certification follow.

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
CorporationProprietary
Enrollment address
1625 Brendelwood Dr NW
Cedar Rapids, IA 52405-1584
Nursing home name
METH-WICK HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meth-Wick Health CenterCCN 165542 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
6957.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0893117Meth-Wick Health Center1625 Brendelwood Drive, Cedar Rapids, IA 52405Certificate of waiverOct 13, 2026
16D2191700The Meth-Wick Community1224 13TH St NW, Cedar Rapids, IA 52405Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory

Locations

1625 Brendelwood Dr NW
Cedar Rapids, IA 52405
Phone (319) 297-8607

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Kathleen Horan Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Clete B Younger Individual Adp of the SNF Feb 1, 2025
Amber Elizabeth Jedlicka Individual Corporate Director Apr 1, 2017
Adp of the SNF Aug 1, 2025
Ronald Joseph Jaeger Individual Operational/Managerial Control Sep 17, 1990
Adp of the SNF Sep 17, 1990
Meth Wick Community Organization, Cedar Rapids, IA Non-profit 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 Individual Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 6

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": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1497740443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 13TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052404",
            "telephone_number": "319-365-9171",
            "fax_number": "319-364-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 13TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052404",
            "telephone_number": "319-365-9171",
            "fax_number": "319-364-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METH WICK COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-365-9171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "165542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.