Clarence Nursing Home Inc

Key facts

NPI

1508849522

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

License

N149 (IA)

Legal business name

CLARENCE NURSING HOME INC

Practice address

402 2ND Ave
PO Box H
Clarence, IA 52216-9754

Phone

(563) 452-3262

Fax

(563) 452-3848

NPI assigned

Nov 23, 2005

Organization subpart

No

Authorized official

Name

Mr. Russell Dircks

Title

President

Phone

(563) 452-3262

Owners & managing parties with NPI records 4

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

• Millennium Rehab & Consulting, Inc. Physical Therapist · Des Moines, IA · NPI 1255385852
  CMS ownership ADP OF THE SNF
• Millennium Rehab & Consulting, Inc. Physical Therapist · Independence, IA · NPI 1336193986
  CMS ownership ADP OF THE SNF
• Millennium Rehab & Consulting, Inc. Physical Therapist · Fort Dodge, IA · NPI 1376597708
  CMS ownership ADP OF THE SNF
• Clete B Younger, M.D. Family Medicine Physician · Cedar Rapids, IA · NPI 1063647071
  CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Owned or controlled facilities with NPI records 1

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

• The Cedar Foundation Incorporated of Cedar County Iowa Nursing Facility/Intermediate Care Facility · Tipton, IA · NPI 1679576946
  CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Corporate family (same tax ID) 1

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

• Clarence Nursing Home, Inc Assisted Living Facility · Clarence, IA · NPI 1780088393
  NPD tax ID

Facilities with the same owner 1

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

• The Cedar Foundation Incorporated of Cedar County Iowa Nursing Facility/Intermediate Care Facility · Tipton, IA · NPI 1679576946
  CMS ownership CLARENCE NURSING HOME INC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clete B Younger, M.D. Family Medicine Physician · Cedar Rapids, IA · NPI 1063647071
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robyn L Nebergall, PAC Physician Assistant · Tipton, IA · NPI 1720066996
  Care Compare affiliation Nursing home
• Anna C. Pruess, A.R.N.P. Family Nurse Practitioner · Clarence, IA · NPI 1154604536
  Care Compare affiliation Nursing home
• Heather Lynn Schott, ARNP Nurse Practitioner · Clarence, IA · NPI 1942789250
  Care Compare affiliation Nursing home
• Clete B Younger, M.D. Family Medicine Physician · Cedar Rapids, IA · NPI 1063647071
  Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as

Clarence Nursing Home CCN 165590

Overall star rating

★★★★★ 5 of 5

Health inspections

★★★★☆ 4 of 5

Staffing

★★★★★ 5 of 5

Quality measures

★★★★★ 5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 18, 2009

Medicare certification status

Active (Provider of Services file)

Certified beds

46 · 43.2 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IA

Skilled nursing facility certification: CCN 165590

Legal name

CLARENCE NURSING HOME INC

Doing business as

CLARENCE NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 18, 2009

Last certification

Aug 22, 2024

Beds

46

Ownership / control type

Corporation

Organization structure

Corporation · Non-profit

Enrollment address

402 2ND Ave
Clarence, IA 52216-9754

Nursing home name

CLARENCE NURSING HOME

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.

All facility ownership & control disclosures 1

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

Medicare enrollment records

National Provider Directory

Tax ID family

Clarence Nursing Home Inc (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other identifiers

Other names

• Clarence Nursing Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 23, 2021.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1508849522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 2ND AVE",
            "city": "CLARENCE",
            "state": "IA",
            "postal_code": "522169754",
            "telephone_number": "563-452-3262",
            "fax_number": "563-452-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 2ND AVE",
            "address_2": "PO BOX H",
            "city": "CLARENCE",
            "state": "IA",
            "postal_code": "522169754",
            "telephone_number": "563-452-3262",
            "fax_number": "563-452-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "DIRCKS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-452-3262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800599",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarence Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarence Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarence, IA

• David L Askelson, PAC
• Brooke Brimeyer
• City of Clarence
• Clarence Nursing Home, Inc
• Frederick Russell Drexler, DDS
• Heal With Cat
• Iowa Physicians Clinic Medical Foundation
• Sara J Otten, PT

All providers in Clarence, IA · Skilled Nursing Facility in Iowa