NPIMap

Organization Active NPI

Wesley Retirement Services, Inc.

Doing business as Wesley Acres

  • Skilled Nursing Facility
  • Des Moines, IA
National Provider Identifier
1508843947
Registry record updated Sep 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N-0287 Issued in IA
Legal business name
WESLEY RETIREMENT SERVICES, INC.
Doing business as
Wesley Acres
Practice address
3520 Grand Ave
Des Moines, IA 50312-4359
Phone
(515) 271-6500
Fax
(515) 271-6522
NPI assigned
Dec 28, 2005
Last updated
Sep 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2013

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

Authorized official

Name
Mr. Cal Shelangoski
Title
Finance Director
Phone
(515) 271-6896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N-0287 IA Primary

Addresses

Primary practice location

3520 Grand Ave
Des Moines, IA 50312-4359

Mailing address

3520 Grand Ave
Des Moines, IA 50312-4359
Phone (515) 271-6500

Other identifiers 2

IdentifierTypeStateIssuer
N-0287OtherIANURSING HOME LICENSE
0804187MedicaidIA

Other names 1

  • Wesley Acres Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030114000016 IA Part A Provider - Skilled Nursing Facility 8022926526 Practice locations: Des Moines, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508843947. Details of each certification follow.

Skilled nursing facility certification: CCN 165487

Legal name
WESLEY RETIREMENT SERVICES INC
Doing business as
WESLEY ON GRAND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 2003
Last certification
Jul 11, 2024
Beds
80
Ownership / control type
Nonprofit Corporation
Multi-facility organization
WesleyLife
Organization structure
CorporationNon-profit
Incorporated
Jun 21, 1950 in IA
Enrollment address
3520 Grand Ave
Des Moines, IA 50312-4359
Nursing home name
WESLEY ON GRAND
Affiliated entity
WESLEYLIFE

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wesley on GrandCCN 165487 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8077.8 residents per day on average
Chain
Wesleylife10 facilities in the chain

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
16D0976316Wesley Acres3520 Grand Ave, Des Moines, IA 50312Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Wesley Retirement Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

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.

NameRoleSinceShare
Christina L Taylor Individual Corporate Director Jan 1, 2018
Chad Rasmussen Individual Corporate DirectorBoard Member Jan 1, 2011 10%
Robert William Kretzinger Individual Corporate OfficerPresident & Ceo Nov 11, 1996 33%
W-2 Managing EmployeePresident & Ceo Nov 11, 1996 33%
Susan Watson Individual Corporate Director Jan 1, 2014
Damon Buskohl Individual Operational/Managerial Control Oct 14, 2013
Janet a Simpson Individual Operational/Managerial Control Jan 1, 2016
Roger K. Lagree Individual Corporate Director Jan 1, 2015
Abbey Gilroy Individual Corporate Director Jan 1, 2016
Kermit J Albertson Individual Corporate Director Jan 1, 2018
Nicole Lynn Hoeksema Individual Corporate Director Mar 1, 2021
David B Stout Individual Corporate DirectorBoard Member Jan 1, 2011 10%
Wesley Retirement Services Inc Organization, Johnston, IA Non-profit 5% Or Greater Direct Ownership Interest Jun 21, 1966 100%
Operational/Managerial Control Jun 21, 1966 100%
Wesleylife Organization, Johnston, IA Non-profit Operational/Managerial Control Jan 1, 1996 100%
Robert M. Ruch Individual Corporate DirectorBoard Member Jan 1, 2003 10%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Halcyon HouseWashington, IA, CCN 165483 Skilled nursing facility Operational/Managerial Control Jan 1, 1966
Wesley Park CentreNewton, IA, CCN 165543 Skilled nursing facility Operational/Managerial Control Jun 8, 1992
Heritage HouseAtlantic, IA, CCN 165561 Skilled nursing facility Operational/Managerial Control Jun 8, 1992
Edgewater, a Wesleylife CommunityWest Des Moines, IA, CCN 165597 Skilled nursing facility Operational/Managerial Control Feb 27, 2009
The Village, a Wesleylife CommunityIndianola, IA, CCN 165167 Skilled nursing facility Operational/Managerial Control Oct 20, 2009
The CottagesPella, IA, CCN 165607 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Sep 25, 2009
Brio of Johnston, a Wesleylife CommunityJohnston, IA, CCN 165624 Skilled nursing facility Operational/Managerial Control (100%) Mar 26, 2018
Wesleylife HospiceUrbandale, IA, CCN 161587 Hospice Operational/Managerial Control Jun 1, 2007

Owned or controlled facilities with NPI records 8

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

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378512000000",
    "number": "1508843947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124359",
            "telephone_number": "515-271-6500",
            "fax_number": "515-271-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124359",
            "telephone_number": "515-271-6500",
            "fax_number": "515-271-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY RETIREMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-09-07",
        "status": "A",
        "authorized_official_last_name": "SHELANGOSKI",
        "authorized_official_first_name": "CAL",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "515-271-6896",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-0287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE",
            "identifier": "N-0287",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804187",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Acres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.