NPIMap

Organization Active NPI

Guttenberg Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Guttenberg, IA
National Provider Identifier
1629843305
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GUTTENBERG IA SKILLED NURSING FACILITY, LLC
Practice address
1315 Acre St
Guttenberg, IA 52052-9594
Phone
(563) 252-2281
NPI assigned
Nov 22, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Chaim Rajchenbach
Title
Principal
Phone
(847) 745-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1315 Acre St
Guttenberg, IA 52052-9594

Mailing address

1315 Acre St
Guttenberg, IA 52052-9594
Phone (563) 252-2281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240926000238 IA Part A Provider - Skilled Nursing Facility 0244771566 Practice locations: Guttenberg, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629843305. Details of each certification follow.

Skilled nursing facility certification: CCN 165334

Legal name
GUTTENBERG IA SKILLED NURSING FACILITY LLC
Doing business as
GUTTENBERG CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1997
Last certification
Nov 7, 2024
Beds
93 (46 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy Healthcare
Organization structure
LLCProprietary
Enrollment address
1315 Acre St
Guttenberg, IA 52052-9594
Nursing home name
GUTTENBERG CARE CENTER
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Guttenberg Care CenterCCN 165334 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4633.0 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Guttenberg Ia Skilled Nursing Facility LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 35

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

NameRoleSinceShare
Mindy Houston Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Larina Heying Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Gorgona Sub Holdco LLC Organization, Skokie, IL LLC, Holding company Adp of the SNF Aug 15, 2024
Jenny Borcherding Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Lexia Burgin Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Jennifer Hedberg Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Laura Friedenberg Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Iowa Portfolio Opco Holdings LLC Organization, Skokie, IL Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 15, 2024 100%
Menachem Shabat Individual Corporate OfficerPresident Aug 15, 2024
Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Patricia Otterbeck Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
MN8 RH Holdco LLC Organization, Skokie, IL LLC, Holding company Adp of the SNF Aug 15, 2024
Rivka Rajchenbach Individual Trustee of the SNF Apr 28, 2008
Guttenberg Ia Property Holdings, LLC Organization, Skokie, IL LLC Adp of the SNF Aug 15, 2024
Melissa Larson Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Chaim Rajchenbach Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Cascade Capital Holdings LLC Organization, Skokie, IL LLC, Holding company Adp of the SNF Aug 15, 2024
Elizabeth Van Veghel Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Hayley Kann Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Karla Beasley Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL LLC 5% Or Greater Indirect Ownership Interest Aug 15, 2024 45.5%
Trustee of the SNF Aug 15, 2024
Bobbie Wierschem Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, Management services company, Consulting firm Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Michele L Dikkers Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Kiley Shear Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Oakway Operations LLC Organization, Skokie, IL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 15, 2024 22.5%
Cascade Capital Partners LLC Organization, Skokie, IL LLC, Holding company Adp of the SNF Aug 15, 2024
Dorothy McClure Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Avrum Rajchenbach Individual Trustee of the SNF Apr 28, 2008
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Indirect Ownership Interest Aug 15, 2024 5%
Linsey Behounek Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
CCG Gorgona LLC Organization, Skokie, IL LLC, Holding company Adp of the SNF Aug 15, 2024
Sheri Burken Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Gorgona Propco Holdings LLC Organization, Skokie, IL LLC, Holding company Adp of the SNF Aug 15, 2024
Krystle Jaeger Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 15, 2024
Gorgona Holdco LLC Organization, Skokie, IL LLC, Holding company Adp of the SNF Aug 15, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 89

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

View all 89

Practitioners & affiliated clinicians

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": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1629843305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ACRE ST",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520529594",
            "telephone_number": "563-252-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ACRE ST",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520529594",
            "telephone_number": "563-252-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTTENBERG IA SKILLED NURSING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, IA

Sources for this page

Verify at the official NPI Registry.