NPIMap

Organization Active NPI

Newton Village, Inc.

  • Skilled Nursing Facility
  • Newton, IA
National Provider Identifier
1669890976
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NEWTON VILLAGE, INC.
Practice address
114 N 5TH Ave
Newton, IA 50208
Phone
(641) 792-0115
Fax
(641) 792-0226
NPI assigned
Apr 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Seelochani Stadtherr
Title
Avp, Revenue Cycle Management
Phone
(952) 855-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

114 N 5TH Ave
Newton, IA 50208

Mailing address

7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041

Other names 1

  • Newton Village Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140624002026 IA Part A Provider - Skilled Nursing Facility 8628292190 Practice locations: Newton, IA

Skilled nursing facility certification: CCN 165609

Legal name
NEWTON VILLAGE, INC
Doing business as
NEWTON VILLAGE HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 10, 2014
Last certification
Mar 13, 2025
Beds
24
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Cassia
Organization structure
CorporationNon-profit
Incorporated
Jun 13, 2003 in MN
Enrollment address
114 N 5TH Avenue W
Newton, IA 50208-3186
Nursing home name
NEWTON VILLAGE HEALTH CARE CENTER
Affiliated entity
CASSIA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Newton Village Health Care CenterCCN 165609
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 10, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2421.3 residents per day on average
Chain
Cassia16 facilities in the chain

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
16D2076851Newton Village Health Care Center114 N 5TH Avenue W, Newton, IA 50208Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Newton Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Guy P Tangedahl Individual Corporate DirectorBoard Member Jun 24, 2021
Nicolette L Weber-Daniels Individual Corporate DirectorBoard Member Jun 24, 2021
Patrick Joseph Nuss Individual Corporate DirectorBoard Member Jun 24, 2021
Elim Care Inc Organization, Edina, MN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 13, 2014 100%
William S Leff Individual Corporate DirectorBoard Member Jun 24, 2021
Kathryn Lee Youngquist Individual Corporate OfficerChief Financial Officer Jun 3, 2003
Cassia Organization, Edina, MN Management services company Operational/Managerial Control Jan 1, 2020
Robert Mahlon Dahl Individual Corporate OfficerPresident Jun 13, 2003
Paul a Anderson Individual Corporate DirectorBoard Member Jun 24, 2021
Angela Larie Adam Individual W-2 Managing EmployeeAdministrator Jul 11, 2018
Matthew Ray Kern Individual Corporate OfficerChief Operating Officer Feb 28, 2019

Facilities with the same owner 19

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

View all 19

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": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1669890976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392142",
            "telephone_number": "952-855-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N 5TH AVE",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "50208",
            "telephone_number": "641-792-0115",
            "fax_number": "641-792-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "SEELOCHANI",
        "authorized_official_title_or_position": "AVP, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "952-855-5041"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Village Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newton Village Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.