Active NPI
Pleasant Manor Care Center, Inc.
Doing business as Savannah Heights
- Nursing Facility/Intermediate Care Facility
- Mt Pleasant, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- N-0237
- Legal business name
- PLEASANT MANOR CARE CENTER, INC.
- Doing business as
- Savannah Heights
- Practice address
- 413 N Broadway St
Mount Pleasant, IA 52641-1609 - Phone
- (319) 385-8095
- Fax
- (319) 385-3372
- NPI assigned
- Nov 9, 2006
- Last updated
- Jan 11, 2022
- 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
- Linda K. Juckette
- Title
- Corporate Secretary
- Phone
- (515) 223-6064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | N-0237 | IA | Primary |
Addresses
Primary practice location
413 N Broadway St
Mount Pleasant, IA 52641-1609
Mailing address
413 N Broadway St
Mount Pleasant, IA 52641-1609
Phone (319) 385-8095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803221 | Medicaid | IA |
Other names 1
- Savannah Heights
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090105000376 | IA | Part A Provider - Skilled Nursing Facility | 3274695069 | Practice locations: Mount Pleasant, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1578633251. Details of each certification follow.
Skilled nursing facility certification: CCN 165592
- Legal name
- PLEASANT MANOR CARE CENTER INC
- Doing business as
- SAVANNAH HEIGHTS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 3, 2009
- Last certification
- Aug 29, 2024
- Beds
- 50
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 601 S Prairie St
Mount Pleasant, IA 52641-1510 - Nursing home name
- SAVANNAH HEIGHTS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Savannah Heights
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 3, 2009
- Medicare certification status
- Active
- Certified beds
- 50
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 |
|---|---|---|---|
| 16D0714547 | Savannah Heights | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Pleasant Manor Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Mt Pleasant, IA
- NPI 1982698296
Ownership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Integrated Health Systems Intermediate, LLC | Adp of the SNF | Aug 25, 2015 | |
| Capstone Management LLC | Operational/Managerial Control | Nov 1, 2014 | 100% |
| Katelyn Dunn | Operational/Managerial Control | Aug 13, 2018 | |
| Jerod Hunter | Operational/Managerial Control | Dec 15, 2014 | |
| Leashia Durham | Operational/Managerial Control | Oct 13, 2023 | |
| Cattail Inc | Adp of the SNF | Oct 1, 2024 | |
| Direct Ownership Interest | Oct 1, 2024 | 100% | |
| BCG Holdings Inc | Adp of the SNF | Oct 1, 2024 | |
| Direct Ownership Interest | Oct 1, 2024 | 25% | |
| Linda K Juckette | Corporate Officer | Mar 1, 2015 | 100% |
| Corporate Director | Mar 1, 2015 | 100% | |
| Traverse Point Panthers | Adp of the SNF | Aug 25, 2015 | |
| Direct Ownership Interest | Aug 25, 2015 | 96.7% | |
| Iowa Health Care Association | Adp of the SNF | Oct 1, 2024 | |
| Indirect Ownership Interest | Oct 1, 2024 | 15% | |
| Telford Lodden | Trustee of the SNF | Nov 1, 2014 | |
| Thomas F Juckette Marital Trust | 5% Or Greater Direct Ownership Interest | Nov 1, 2014 | 100% |
| Zachary Downing | Operational/Managerial Control | Oct 3, 2019 | |
| Guardian Pharmacy of Iowa LLC | Adp of the SNF | Jan 31, 2021 | |
| Ecsi Inc | Adp of the SNF | Oct 1, 2024 | |
| Direct Ownership Interest | Oct 1, 2024 | 25% | |
| Health Technologies, Inc | Adp of the SNF | Apr 1, 2023 | |
| Stephanie Stevenson | Operational/Managerial Control | Oct 24, 2022 | |
| Cattail BCG LLC | Adp of the SNF | Oct 1, 2024 | |
| Direct Ownership Interest | Oct 1, 2024 | ||
| Joel Ryon | Operational/Managerial Control | Jan 1, 2025 | |
| Key Rehabilitation Inc | Adp of the SNF | Jan 1, 2016 | |
| Vicki Irvin | Operational/Managerial Control | Nov 1, 2014 | |
| Brighton Consulting Group LLC | Adp of the SNF | Oct 1, 2024 | |
| Stacie Byerly | Operational/Managerial Control | Sep 11, 2019 |
Owners & managing parties with NPI records 13
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Long Term Care Pharmacy
- Cedar Rapids, IA
- NPI 1447762885
Adp of the SNF
-
dba Right Dose Pharmacy
- Long Term Care Pharmacy
- Storm Lake, IA
- NPI 1912746637
Adp of the SNF
-
- Family Medicine Physician
- Mt Pleasant, IA
- NPI 1063523728
Operational/Managerial Control
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Hendersonville, TN
- NPI 1528136249
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Psychologist
- Gardner, KS
- NPI 1205106457
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- McIntosh, MN
- NPI 1295436970
Adp of the SNF
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
Adp of the SNF
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Algona Manor Care Center
- Skilled Nursing Facility
- Algona, IA
- NPI 1922091131
Capstone Management LLC, Thomas F Juckette Marital Trust
-
dba Hiawatha Care Center
- Nursing Facility/Intermediate Care Facility
- Hiawatha, IA
- NPI 1285630541
Thomas F Juckette Marital Trust
-
dba West Point Care Center
- Skilled Nursing Facility
- West Point, IA
- NPI 1346335379
Capstone Management LLC, Thomas F Juckette Marital Trust
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Mt Pleasant, IA
- NPI 1063523728
Affiliated clinicians 2
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": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1578633251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 N BROADWAY ST",
"city": "MOUNT PLEASANT",
"state": "IA",
"postal_code": "526411609",
"telephone_number": "319-385-8095",
"fax_number": "319-385-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 N BROADWAY ST",
"city": "MOUNT PLEASANT",
"state": "IA",
"postal_code": "526411609",
"telephone_number": "319-385-8095",
"fax_number": "319-385-3372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT MANOR CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "JUCKETTE",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "515-223-6064"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IA",
"license": "N-0237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0803221",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Savannah Heights",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mt Pleasant, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.