Monticello Nursing Home Company

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

530729 Issued in IA

Legal business name

MONTICELLO NURSING HOME COMPANY

Practice address

500 Pinehaven Dr
Monticello, IA 52310-2049

Phone

(319) 465-5415

Fax

(319) 465-3205

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald L Chensvold

Title

Manager

Phone

(319) 362-8916

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Monticello Nursing & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Skilled nursing facility certification: CCN 165279

Legal name

MONTICELLO NURSING HOME COMPANY

Doing business as

MONTICELLO NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1996

Last certification

Nov 4, 2024

Beds

75

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

500 Pinehaven Dr
Monticello, IA 52310-2049

Nursing home name

MONTICELLO NURSING & REHAB CENTER

Listed as

Monticello Nursing & Rehab CenterCCN 165279

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7547.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Monticello Nursing Home Company 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.

• Monticello Nursing Home Company LLC

  • Assisted Living Facility
  • Monticello, IA
  • NPI 1104049717
  NPD tax ID
• Monticello Nursing Home Company LLC

  • Skilled Nursing Facility
  • Monticello, IA
  • NPI 1346467651
  NPD tax ID

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

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

• Michael B Weston, MD

  • Family Medicine Physician
  • Monticello, IA
  • NPI 1194702241

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• Anamosa Nursing Home Company LLC

  • Skilled Nursing Facility
  • Anamosa, IA
  • NPI 1659330470

  John R Grubb Family Trust, John W Grubb Trust, Kimberly D Grubb Trust

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1649239492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PINEHAVEN DR",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523102049",
            "telephone_number": "319-465-5415",
            "fax_number": "319-465-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PINEHAVEN DR",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523102049",
            "telephone_number": "319-465-5415",
            "fax_number": "319-465-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO NURSING HOME COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "CHENSVOLD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-362-8916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "530729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "16D0667011",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809194",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Therese Merritt, R.PH.
• Lindsey Meyer, DDS
• Nicole Monk-Stoneking
• Monticello Community School District
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• Daniel James Noonan, LMSW
• Kelly Jo O'Reilly Alber, ARNP, FNP-BC

• All providers in Monticello, IA
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.