Anamosa Nursing Home Company LLC
Organization Active NPI Skilled Nursing Facility · Anamosa, IA
NPI 1659330470 · NPPES record last updated Mar 18, 2008
Key facts
- NPI
- 1659330470
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 530253 (IA)
- Legal business name
- ANAMOSA NURSING HOME COMPANY LLC
- Practice address
- 1209 E 3Rd St
Anamosa, IA 52205-1503 - Phone
- (319) 462-4356
- Fax
- (319) 462-5038
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Donald L Chensvold
- Title
- Manager
- Phone
- (319) 362-8916
Owners & managing parties with NPI records 1
Corporate family (same tax ID) 2
Facilities with the same owner 1
Affiliated clinicians 2
-
Kirk W Kilburg, MD
Medicare Care Compare: Nursing home
- Listed as
- Anamosa Care Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1998
- Medicare certification status
- Active
- Certified beds
- 64 · 53.7 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Skilled nursing facility certification: CCN 165375
- Legal name
- ANAMOSA NURSING HOME COMPANY LLC
- Doing business as
- ANAMOSA CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1998
- Last certification
- Jul 25, 2024
- Beds
- 64
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 1209 E 3Rd St
Anamosa, IA 52205-1503 - Nursing home name
- ANAMOSA CARE CENTER
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Katherine Irene Meyers |
Operational/Managerial Control | Sep 27, 2018 | |
| Adp of the SNF | Sep 27, 2018 | ||
| |
Adp of the SNF | Mar 20, 2025 | |
| Kelsie Bates |
Operational/Managerial Control | Jan 10, 2019 | |
| Adp of the SNF | Jan 10, 2019 | ||
| Nick Gentzler |
Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| John R Grubb Family Trust |
5% Or Greater Direct Ownership Interest | Oct 31, 2004 | 12% |
| Trustee of the SNF | Oct 31, 2004 | ||
| Adp of the SNF | Oct 31, 2024 | ||
| Angelena Purdy |
Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| John William Grubb |
Corporate Officer |
Jan 1, 2022 | |
| Trustee of the SNF | Aug 19, 2021 | ||
| Adp of the SNF | Aug 19, 2021 | ||
| John W Grubb Trust |
5% Or Greater Direct Ownership Interest | Aug 19, 2021 | 43.9% |
| Trustee of the SNF | Aug 19, 2021 | ||
| Adp of the SNF | Oct 31, 2024 | ||
| Kimberly D Grubb Trust |
5% Or Greater Direct Ownership Interest | Aug 19, 2021 | 43.9% |
| Trustee of the SNF | Aug 19, 2021 | ||
| Adp of the SNF | Oct 31, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050114000235 | IA | Part a Provider - Skilled Nursing Facility | 5890744007 | Practice locations: Anamosa, IA |
National Provider Directory
- Tax ID family
- Anamosa Care Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 530253 | IA | Yes |
Addresses
Primary practice location
1209 E 3Rd St
Anamosa, IA 52205-1503
Mailing address
1209 E 3Rd St
Anamosa, IA 52205-1503
Phone (319) 462-4356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0809160 | Medicaid | IA |
Other names
- Anamosa Care Center
Other providers in Anamosa, IA
- Anamosa Community Hospital, Inc.
- Anamosa Community School District
- Anamosa Dental Enterprises PLLC
- Anamosa Nursing Home Company LLC
- Anamosa Nursing Home Company LLC
- Abram S. Anderson
- Toni Michelle Bagan
- Samantha Marie Billings
- Emilly Mikal Brodeur
- Jenny A Butler
All providers in Anamosa, IA · Skilled Nursing Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.