Active NPI
Claremont's Ramsey Village LLC
- Skilled Nursing Facility
- Des Moines, IA
National Provider Identifier
1609183847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CLAREMONT'S RAMSEY VILLAGE LLC
- Practice address
- 1611 27TH St
Des Moines, IA 50310-5400 - Phone
- (515) 274-3612
- NPI assigned
- Sep 9, 2010
- Last updated
- Sep 9, 2010
- 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
- Mr. Douglas R Gill
- Title
- President
- Phone
- (925) 362-0354
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1611 27TH St
Des Moines, IA 50310-5400
Mailing address
2 Crow Canyon CT
Suite 100
San Ramon, CA 94583-1953
Phone (925) 362-0354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101104001116 | IA | Part A Provider - Skilled Nursing Facility | 9032303938 | Practice locations: Des Moines, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609183847. Details of each certification follow.
Skilled nursing facility certification: CCN 165514
- Legal name
- CLAREMONT'S RAMSEY VILLAGE LLC
- Doing business as
- RAMSEY VILLAGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 16, 2004
- Last certification
- Oct 3, 2024
- Beds
- 78
- Ownership / control type
- Other Nonprofit
- Organization structure
- LLC
- Incorporated
- Aug 1, 2010 in IA
- Enrollment address
- 1611 27TH St
Des Moines, IA 50310-5499 - Nursing home name
- RAMSEY VILLAGE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ramsey Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Feb 16, 2004
- Medicare certification status
- Active
- Certified beds
- 78
National Provider Directory
National Provider Directory- Tax ID family
- BLC - Ramsey LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
10 Crow Canyon Ct
Ste 101
San Ramon, CA 94583
Phone (925) 567-6301
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Claremont Retirement Management Services Corp | Operational/Managerial Control | Dec 15, 2010 | |
| Douglas Gill | Corporate Director | Dec 15, 2010 | |
| Operational/Managerial Control | Dec 15, 2010 | ||
| Claremont House Inc. | 5% Or Greater Direct Ownership Interest | Dec 31, 2010 | 100% |
| Brian E Walgenbach | Corporate Director | Dec 15, 2010 | |
| Operational/Managerial Control | Dec 15, 2010 |
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1283990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283990400000",
"number": "1609183847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CROW CANYON CT",
"address_2": "SUITE 100",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831953",
"telephone_number": "925-362-0354",
"fax_number": "925-362-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 27TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503105400",
"telephone_number": "515-274-3612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAREMONT'S RAMSEY VILLAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-362-0354",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.