Active NPI
Iowa Mennonite Benevolent Association
- Skilled Nursing Facility
- Kalona, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 165470
- Legal business name
- IOWA MENNONITE BENEVOLENT ASSOCIATION
- Practice address
- 811 3Rd St
Kalona, IA 52247-9493 - Phone
- (319) 656-2421
- Fax
- (319) 656-2439
- NPI assigned
- Sep 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond F. Poe
- Title
- Administrator
- Phone
- (319) 656-2421
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 0891515 | IA | |
| Skilled Nursing Facility | 314000000X | 165470 | IA | Primary |
Addresses
Primary practice location
811 3Rd St
Kalona, IA 52247-9493
Mailing address
811 3Rd St
Kalona, IA 52247-9493
Phone (319) 656-2421
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803270 | Medicaid | IA | |
| 0891515 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111019000013 | IA | Part A Provider - Skilled Nursing Facility | 5496794836 | Practice locations: Kalona, IA |
Skilled nursing facility certification: CCN 165470
- Legal name
- IOWA MENNONITE BENEVOLENT ASSOCIATION
- Doing business as
- PLEASANTVIEW HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 2002
- Last certification
- Mar 27, 2025
- Beds
- 66
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 811 3Rd St
Kalona, IA 52247-9493 - Nursing home name
- PLEASANTVIEW HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pleasantview Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 1, 2002
- Medicare certification status
- Active
- Certified beds
- 66
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0386603 | Pleasantview Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 78
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Oct 1, 2024 | ||
| Merlin Kauffman | Corporate Director | Mar 1, 2021 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Ann C Drobot | Operational/Managerial Control | May 23, 2019 | |
| Jessica L Janecek | Operational/Managerial Control | Apr 15, 2015 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | May 10, 2016 | ||
| Vickie a Bender | Operational/Managerial Control | May 26, 2009 | |
| Adp of the SNF | May 10, 2016 | ||
| Debra J Yoder | Corporate Officer | Mar 1, 2022 | |
| Julie Bontrager | Corporate Officer | Mar 1, 2024 | |
| Adp of the SNF | May 10, 2016 | ||
| PRN Health Services, Inc. | Adp of the SNF | Sep 1, 2021 | |
| Blue Stone Therapy Inc | Adp of the SNF | Jan 1, 2024 | |
| Adp of the SNF | Sep 30, 2021 | ||
| Scott M Eberly | Operational/Managerial Control | Jan 1, 2015 | |
| Adp of the SNF | Jan 29, 2026 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Ronnie Hershberger | Corporate Director | Mar 1, 2024 | |
| Access Technologies Inc | Adp of the SNF | Sep 30, 2021 | |
| Adp of the SNF | Jan 1, 2021 | ||
| Adp of the SNF | May 10, 2016 | ||
| Herber Ramer | Corporate Director | Mar 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Karen S Schrock | Operational/Managerial Control | Feb 5, 2014 | |
| Sean Riley | Operational/Managerial Control | Apr 7, 2025 | |
| Adp of the SNF | Jan 29, 2026 | ||
| Usda Department of Agriculture Rural Development | 5% Or Greater Mortgage Interest | Mar 7, 2025 | 90% |
| Adp of the SNF | Mar 7, 2025 | ||
| Adp of the SNF | May 10, 2016 | ||
| Patricia Troyer | Corporate Director | Mar 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Cattail Inc | Adp of the SNF | Oct 1, 2024 | |
| BCG Holdings Inc | Adp of the SNF | Oct 1, 2024 | |
| Wendell Miller | Corporate Director | Mar 1, 2020 | |
| Iowa Health Care Association | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Midori L Gingerich | Operational/Managerial Control | Dec 14, 2020 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Grape Tree Medical Staffing LLC | Adp of the SNF | Oct 21, 2009 | |
| William Burke LTD | Adp of the SNF | Aug 12, 2015 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2023 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Renee N Hershberger | Operational/Managerial Control | Mar 16, 2015 | |
| Adp of the SNF | May 10, 2016 | ||
| Ecsi Inc | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Cattail Consulting LLC | Adp of the SNF | Sep 30, 2022 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Larry L Swartzendruber | Operational/Managerial Control | Aug 1, 2016 | |
| Adp of the SNF | May 10, 2016 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Dec 13, 2013 | ||
| Kent a Lehman | Operational/Managerial Control | Sep 3, 2019 | |
| Michelle J Danker | Operational/Managerial Control | Dec 14, 2018 | |
| Julie Sojka | Corporate Officer | Mar 1, 2024 | |
| James D Hershberger | Operational/Managerial Control | Jul 7, 2011 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Williams & Company PC | Adp of the SNF | Jul 8, 2013 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | May 10, 2016 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | May 10, 2016 | ||
| Cattail BCG LLC | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | May 10, 2016 | ||
| Adp of the SNF | Dec 13, 2013 | ||
| Marlan Logan | Corporate Officer | Mar 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Brighton Consulting Group LLC | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | May 10, 2016 | ||
| Adp of the SNF | Oct 1, 2024 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
Adp of the SNF
-
- Internal Medicine Physician
- Iowa City, IA
- NPI 1013982347
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Iowa City, IA
- NPI 1013982347
Affiliated clinicians 2
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": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1497741557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 3RD ST",
"city": "KALONA",
"state": "IA",
"postal_code": "522479493",
"telephone_number": "319-656-2421",
"fax_number": "319-656-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 3RD ST",
"city": "KALONA",
"state": "IA",
"postal_code": "522479493",
"telephone_number": "319-656-2421",
"fax_number": "319-656-2439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOWA MENNONITE BENEVOLENT ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "POE",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "319-656-2421",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "IA",
"license": "0891515",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "165470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0803270",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0891515",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.