Active NPI
Royal Oaks Nursing and Rehabilitation Center LLC
- Skilled Nursing Facility
- Urbandale, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ROYAL OAKS NURSING AND REHABILITATION CENTER LLC
- Practice address
- 4614 84TH St
Urbandale, IA 50322-1089 - Phone
- (515) 270-6838
- NPI assigned
- Sep 2, 2024
- 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
- Joseph Glatzer
- Title
- Authorized Representative
- Phone
- (848) 757-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4614 84TH St
Urbandale, IA 50322-1089
Mailing address
4614 84TH St
Urbandale, IA 50322-1089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250213003775 | IA | Part A Provider - Skilled Nursing Facility | 6608306055 | Practice locations: Urbandale, IA |
Skilled nursing facility certification: CCN 165580
- Legal name
- ROYAL OAKS NURSING AND REHABILITATION CENTER LLC
- Doing business as
- ROYAL OAKS NURSING AND RAHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 9, 2007
- Last certification
- Jul 1, 2024
- Beds
- 115
- Ownership / control type
- Corporation
- Multi-facility organization
- Care Sage
- Organization structure
- LLC
- Enrollment address
- 4614 84TH St
Urbandale, IA 50322-1089 - Nursing home name
- ROYAL OAKS NURSING AND REHABILITATION CENTER
- Affiliated entity
- CEDAR VIEW HOLDINGS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Royal Oaks Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 9, 2007
- Medicare certification status
- Active
- Certified beds
- 115
- Chain
- Cedar View Holdings
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 6
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Gabriel J Sebbag | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 52% |
| Trustee of the SNF | Jan 1, 2025 | ||
| Marc Schiowitz | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Samara Fam TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 24% |
| Adp of the SNF | Jan 1, 2025 | ||
| JSJ 2020 Fam TR | Adp of the SNF | Jan 1, 2025 | |
| Iowa 5784 LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 52% |
| Adp of the SNF | Mar 25, 2025 | ||
| Michael P Oconner | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Amaranthine Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| JSJ Property LLC | Adp of the SNF | Jan 1, 2025 | |
| 4614 NW 84TH Street Propco LLC | Adp of the SNF | Jan 1, 2025 | |
| Cedar View TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 24% |
| Adp of the SNF | Mar 25, 2025 | ||
| Caresage Administrative Consulting, LLC | Adp of the SNF | Jan 1, 2025 | |
| The Bryn Mawr Trust Company of Delaware | Adp of the SNF | Jan 1, 2025 | |
| Summation Financial Services LLC | Adp of the SNF | Jan 1, 2025 | |
| Tina Greatorex | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Jennifer Reiter | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Clinical Consulting Services LLC | Adp of the SNF | Jan 1, 2025 | |
| Samara Family Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 24% |
| Cedar View Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 24% |
| Adp of the SNF | Mar 25, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Des Moines, IA
- NPI 1396724167
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Keosauqua, IA
- NPI 1073347902
Amaranthine Holdings LLC, Cedar View Holdings LLC, Cedar View TR, Iowa 5784 LLC, Samara Family Holdings LLC
-
- Skilled Nursing Facility
- Keota, IA
- NPI 1245064179
Amaranthine Holdings LLC, Cedar View Holdings LLC, Iowa 5784 LLC, Samara Family Holdings LLC
-
- Skilled Nursing Facility
- Sigourney, IA
- NPI 1326872250
Amaranthine Holdings LLC, Cedar View Holdings LLC, Iowa 5784 LLC, Samara Fam TR, Samara Family Holdings LLC
-
- Skilled Nursing Facility
- Newton, IA
- NPI 1154155083
Amaranthine Holdings LLC, Cedar View Holdings LLC, Cedar View TR, Iowa 5784 LLC, Samara Family Holdings LLC
-
- Skilled Nursing Facility
- Athens, PA
- NPI 1720743370
Cedar View Holdings LLC, Cedar View TR, Samara Family Holdings LLC
-
- Skilled Nursing Facility
- Forest City, PA
- NPI 1548729619
Samara Family Holdings LLC
-
- Skilled Nursing Facility
- Tamaqua, PA
- NPI 1477287407
Cedar View Holdings LLC, Cedar View TR, Samara Fam TR, Samara Family Holdings LLC
-
- Skilled Nursing Facility
- Mount Carmel, PA
- NPI 1427782465
Cedar View Holdings LLC, Samara Family Holdings LLC
-
- Skilled Nursing Facility
- Shenandoah, PA
- NPI 1407580442
Cedar View Holdings LLC, Samara Family Holdings LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1508690439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4614 84TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503221089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4614 84TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503221089",
"telephone_number": "515-270-6838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL OAKS NURSING AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A",
"authorized_official_last_name": "GLATZER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "848-757-0550"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.