Active NPI
Westhaven Community a Ministry of the Evangelical Free Church
- Skilled Nursing Facility
- Boone, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801191 | 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 |
|---|---|---|---|---|
| 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
- Other
- 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 Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 2005
- Medicare certification status
- Active
- Certified beds
- 100
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 |
|---|---|---|---|
| 16D0893023 | Westhaven Community | Certificate of waiver | Oct 12, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Rhodes | W-2 Managing Employee | Aug 30, 2013 | |
| Operational/Managerial Control | Jan 20, 2025 | ||
| Jordan Wineinger | Corporate Director | Jul 22, 2016 | 100% |
| W-2 Managing Employee | Jul 22, 2016 | 100% | |
| Operational/Managerial Control | Jan 20, 2025 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Eric M Peterson | Contracted Managing Employee | 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.
-
- Family Medicine Physician
- Boone, IA
- NPI 1710955877
Adp of the SNF, Contracted Managing Employee, 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.
-
- Physical Therapist
- Boone, IA
- NPI 1679403802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.