NPIMap

Organization Active NPI

Wesley Retirement Services, Inc.

Doing business as Halcyon House, A WesleyLife Community

  • Skilled Nursing Facility
  • Washington, IA
National Provider Identifier
1609863539
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
920323 Issued in IA
Legal business name
WESLEY RETIREMENT SERVICES, INC.
Doing business as
Halcyon House, A WesleyLife Community
Practice address
1015 S Iowa Ave
Washington, IA 52353-1126
Phone
(319) 653-7264
Fax
(319) 653-8383
NPI assigned
Oct 5, 2005
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
WESLEY RETIREMENT SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Ms. Christine L Marshall, NHA, CPA
Title
Executive Director
Phone
(319) 653-8313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 112462 IA
Skilled Nursing Facility 314000000X 920323 IA Primary

Addresses

Primary practice location

1015 S Iowa Ave
Washington, IA 52353-1126

Mailing address

1015 S Iowa Ave
Washington, IA 52353-1126
Phone (319) 653-7264

Other identifiers 3

IdentifierTypeStateIssuer
0801753MedicaidIA
0252379MedicaidIA
0891523MedicaidIA

Other names 1

  • Halcyon House, A WesleyLife Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021025000027 IA Part A Provider - Skilled Nursing Facility 8022926526 Practice locations: Washington, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609863539. Details of each certification follow.

Skilled nursing facility certification: CCN 165483

Legal name
WESLEY RETIREMENT SERVICES INC
Doing business as
HALCYON HOUSE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2003
Last certification
Mar 6, 2025
Beds
54
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Wesley Life, Inc
Organization structure
CorporationNon-profit
Incorporated
Jul 7, 1947 in IA
Enrollment address
1015 S Iowa Ave
Washington, IA 52353-1126
Nursing home name
HALCYON HOUSE
Affiliated entity
WESLEYLIFE

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Halcyon HouseCCN 165483 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5451.8 residents per day on average
Chain
Wesleylife10 facilities in the chain
Penalties (3 years)
1Fines totaling $51,006

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
16D0704988Halcyon House1015 South Iowa Avenue, Washington, IA 52353Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Wesley Retirement Services Inc5 organizations share this tax ID, including this one
Part of
Wesley Retirement Services Inc

Other organizations with this tax ID 4

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

Locations

1015 S Iowa Ave
Washington, IA 52353
Phone (319) 653-2084

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Christina L Taylor Individual Corporate Director Jan 1, 2018
Chad Rasmussen Individual Corporate Director Jan 1, 2011
Robert William Kretzinger Individual Corporate OfficerPresident & Ceo May 3, 2003
Craig Flanagan Individual Corporate Director Aug 1, 2020
Christine L Marshall Individual W-2 Managing EmployeeExecutive Director (Administrato Apr 25, 2006
Susan Watson Individual Corporate Director Jan 1, 2014
Roger K. Lagree Individual Corporate Director Jan 1, 2015
Abbey Gilroy Individual Corporate Director Jan 1, 2016
Kermit J Albertson Individual Corporate Director Jan 1, 2018
Nicole Lynn Hoeksema Individual Corporate Director Mar 1, 2021
David B Stout Individual Corporate Director Dec 19, 2002
Wesley Retirement Services Inc Organization, Johnston, IA Non-profit Operational/Managerial Control Jan 1, 1966
Wesleylife Organization, Johnston, IA Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 2010 100%
Robert M. Ruch Individual Corporate Director Jan 1, 2003

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Wesley on GrandDes Moines, IA, CCN 165487 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 21, 1966
Jun 21, 1966
Wesley Park CentreNewton, IA, CCN 165543 Skilled nursing facility Operational/Managerial Control Jun 8, 1992
Heritage HouseAtlantic, IA, CCN 165561 Skilled nursing facility Operational/Managerial Control Jun 8, 1992
Edgewater, a Wesleylife CommunityWest Des Moines, IA, CCN 165597 Skilled nursing facility Operational/Managerial Control Feb 27, 2009
The Village, a Wesleylife CommunityIndianola, IA, CCN 165167 Skilled nursing facility Operational/Managerial Control Oct 20, 2009
The CottagesPella, IA, CCN 165607 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Sep 25, 2009
Brio of Johnston, a Wesleylife CommunityJohnston, IA, CCN 165624 Skilled nursing facility Operational/Managerial Control (100%) Mar 26, 2018
Wesleylife HospiceUrbandale, IA, CCN 161587 Hospice Operational/Managerial Control Jun 1, 2007

Owned or controlled facilities with NPI records 8

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1609863539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531126",
            "telephone_number": "319-653-7264",
            "fax_number": "319-653-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531126",
            "telephone_number": "319-653-7264",
            "fax_number": "319-653-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY RETIREMENT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESLEY RETIREMENT SERVICES, INC.",
        "enumeration_date": "2005-10-05",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-653-8313",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA, CPA"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IA",
            "license": "112462",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "920323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801753",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0252379",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0891523",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halcyon House, A WesleyLife Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.