Grand Haven Homes, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-847 Issued in IA

Legal business name

GRAND HAVEN HOMES, INC.

Doing business as

Linn Manor Care Center

Practice address

1140 Elim Dr
Marion, IA 52302-5817

Phone

(319) 377-4611

Fax

(319) 377-4612

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sherri Niles

Title

Administrator

Phone

(319) 377-4611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Linn Manor Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669477907. Details of each certification follow.

• CCN 165511 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165511

Legal name

GRAND HAVEN HOMES, INC.

Doing business as

LINN MANOR CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 4, 2004

Last certification

Dec 5, 2024

Beds

38

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

1140 Elim Dr
Marion, IA 52302-5817

Nursing home name

LINN MANOR CARE CENTER

Affiliated entity

LIFE CARE SERVICES

Listed as

Linn Manor Care CenterCCN 165511 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 4, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3834.4 residents per day on average

Chain

Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 10

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 2

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

• David G Gratton, DDS

  • Prosthodontics
  • Iowa City, IA
  • NPI 1962506667

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Vincent A Taeger, M.D.

  • Family Medicine Physician
  • West Burlington, IA
  • NPI 1770659591

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1669477907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 ELIM DR",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025817",
            "telephone_number": "319-377-4611",
            "fax_number": "319-377-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ELIM DR",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025817",
            "telephone_number": "319-377-4611",
            "fax_number": "319-377-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HAVEN HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-377-4611",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805549",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linn Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glide Care LLC
• Erin Gochenouer, PT, DPT, CMTPT
• Fred Goldblatt, D.O.
• Gabriella Gonzalez, LMT
• Hayley Graham, MT-BC
• Amber Nicole Green, ARNP
• Taylor Green
• Joseph Greene
• Angela Theresa Greeno, LMHC, CADC, NCC, SEP
• Janel Griffin, RN

• Skilled Nursing Facility in Marion, IA
• Providers in Marion, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.