Organization Active NPI

Westhaven Community a Ministry of the Evangelical Free Church

  • Skilled Nursing Facility
  • Boone, IA
National Provider Identifier
1538243266
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WESTHAVEN COMMUNITY A MINISTRY OF THE EVANGELICAL FREE CHURCH
Practice address
112 W 4TH St
Boone, IA 50036-3305
Phone
(515) 432-1393
Fax
(515) 432-7882
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Nancy R Sloan, N.H.A
Title
Administrator
Phone
(515) 432-1393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

112 W 4TH St
Boone, IA 50036-3305

Mailing address

112 W 4TH St
Boone, IA 50036-3305
Phone (515) 432-1393

Other identifiers 1

IdentifierTypeStateIssuer
0801191MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030729000000 IA Part A Provider - Skilled Nursing Facility 5395656151 Practice locations: Boone, IA

Skilled nursing facility certification: CCN 165498

Legal name
WESTHAVEN COMMUNITY A MINISTRY OF THE EVANGELICAL FREE CHURCH
Doing business as
WESTHAVEN COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2005
Last certification
Apr 3, 2025
Beds
100
Ownership / control type
Nonprofit Corporation
Organization structure
OtherNon-profit
Incorporated
Aug 27, 2007 in IA
Enrollment address
112 W 4TH St
Boone, IA 50036-3305
Nursing home name
WESTHAVEN COMMUNITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westhaven CommunityCCN 165498 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10059.1 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
16D0893023Westhaven Community112 West Fourth Street, Boone, IA 50036Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Karen Rhodes Individual W-2 Managing EmployeeBusiness Office Manager Aug 30, 2013
Operational/Managerial Control Jan 20, 2025
Jordan Wineinger Individual Corporate DirectorExecutive Director Jul 22, 2016 100%
W-2 Managing EmployeeAd; Jul 22, 2016 100%
Operational/Managerial Control Jan 20, 2025
Adp of the SNF Jan 22, 2025
Eric M Peterson Individual Contracted Managing EmployeeMD; Apr 1, 2011
Operational/Managerial Control Jan 20, 2025
Adp of the SNF Jan 22, 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.

Affiliated clinicians 7

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1538243266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 4TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500363305",
            "telephone_number": "515-432-1393",
            "fax_number": "515-432-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 4TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500363305",
            "telephone_number": "515-432-1393",
            "fax_number": "515-432-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTHAVEN COMMUNITY A MINISTRY OF THE EVANGELICAL FREE CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-432-1393",
        "authorized_official_credential": "N.H.A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801191",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.