Organization Active NPI

NLC Partners, L.L.C.

Doing business as Northcrest Living Center

  • Skilled Nursing Facility
  • Council Bluffs, IA
National Provider Identifier
1679703052
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
780853 Issued in IA
Legal business name
NLC PARTNERS, L.L.C.
Doing business as
Northcrest Living Center
Practice address
34 Northcrest Dr
Council Bluffs, IA 51503-1622
Phone
(712) 328-2333
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Steven K. Chamley
Title
Administrator
Phone
(402) 536-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 780853 IA Primary

Addresses

Primary practice location

34 Northcrest Dr
Council Bluffs, IA 51503-1622

Mailing address

2452 N Broadway
Council Bluffs, IA 51503-0434
Phone (402) 536-0822

Other names 1

  • Northcrest Living Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091109000379 IA Part A Provider - Skilled Nursing Facility 0749327427 Practice locations: Council Bluffs, IA

Skilled nursing facility certification: CCN 165290

Legal name
NLC PARTNERS LLC
Doing business as
NORTHCREST LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1996
Last certification
Sep 19, 2024
Beds
62
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 24, 2009 in IA
Enrollment address
34 Northcrest Dr
Council Bluffs, IA 51503-1622
Nursing home name
NORTH CREST LIVING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
North Crest Living CenterCCN 165290 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6257.2 residents per day on average

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
16D0648057Northcrest Living Center34 Northcrest Drive, Council Bluffs, IA 51503Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Bank Iowa Organization, Red Oak, IA Created for acquisition, Corporation, Financial institution, For-profit 5% Or Greater Mortgage Interest Apr 5, 2010 50%
Brenda Hunt Individual W-2 Managing EmployeeBusiness Office Manager Aug 7, 2019 100%
Douglas Goracke Individual 5% Or Greater Direct Ownership Interest Oct 1, 2009 20%
Corporate DirectorDirector Oct 1, 2009 20%
Steven K Chamley Individual 5% Or Greater Direct Ownership Interest Oct 1, 2009 60%
Corporate OfficerCoo Oct 1, 2009 60%
Corporate DirectorCoo Oct 1, 2009 60%
W-2 Managing EmployeeAdministrator Oct 1, 2009 100%
Jenny Goodman Individual W-2 Managing EmployeeBilling Manager Jul 29, 2019
Audra Marie Larison Individual 5% Or Greater Direct Ownership InterestAdministrator Mar 3, 2022 20%
Operational/Managerial ControlAdministrator Feb 1, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1679703052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 N BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030434",
            "telephone_number": "402-536-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 NORTHCREST DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031622",
            "telephone_number": "712-328-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NLC PARTNERS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "CHAMLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-536-0822"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "780853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northcrest Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.