Perry Lutheran Home - Rowley Campus LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PERRY LUTHERAN HOME - ROWLEY CAMPUS LLC

Doing business as

Perry Lutheran Homes Eden Acres Campus

Practice address

1300 28TH St
Perry, IA 50220-2329

Phone

(515) 465-5342

NPI assigned

Sep 1, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Gannon

Title

Coo

Phone

(515) 465-5342

Specialties & licenses 2

Addresses

Other names 1

• PERRY LUTHERAN HOMES EDEN ACRES CAMPUS 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 1699389346. Details of each certification follow.

• CCN 165795 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165795

Legal name

PERRY LUTHERAN HOME - ROWLEY CAMPUS LLC

Doing business as

PERRY LUTHERAN HOMES EDEN ACRES CAMPUS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 5, 2022

Last certification

Jul 18, 2024

Beds

57

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1300 28TH St
Perry, IA 50220-2329

Nursing home name

PERRY LUTHERAN HOMES EDEN ACRES CAMPUS

Listed as

Perry Lutheran Homes Eden Acres CampusCCN 165795 · 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

For profit - Limited Liability company

Certified

Apr 5, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5746.3 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $9,110

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lutheran Home for the Aged Association-West

  dba Perry Lutheran Home

  • Nursing Facility/Intermediate Care Facility
  • Perry, IA
  • NPI 1861549719

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 41

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 5

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

• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  Adp of the SNF

  CMS ownership
• Sara Marie Haerther, RD, LD, MPP-D

  • Registered Dietitian
  • Grimes, IA
  • NPI 1952901803

  Operational/Managerial Control

  CMS ownership
• Lutheran Home for the Aged Association-West

  dba Perry Lutheran Home

  • Nursing Facility/Intermediate Care Facility
  • Perry, IA
  • NPI 1861549719

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• NCS Healthcare of Iowa, LLC

  dba Martin Health Urbandale 48236

  • Long Term Care Pharmacy
  • Urbandale, IA
  • NPI 1770695884

  Adp of the SNF

  CMS ownership
• Steve D Sohn, MD

  • Family Medicine Physician
  • Perry, IA
  • NPI 1083600787

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Steve D Sohn, MD

  • Family Medicine Physician
  • Perry, IA
  • NPI 1083600787

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1699389346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 WILLIS AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202148",
            "telephone_number": "515-465-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 28TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202329",
            "telephone_number": "515-465-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY LUTHERAN HOME - ROWLEY CAMPUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-465-5342"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERRY LUTHERAN HOMES EDEN ACRES CAMPUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William N Palmer, MD
• Pearl Valley Rehabilitation and Nursing at Perry, LLC
• Monica Sexton Peitz, LISW
• Perry Community School District
• Perry Family Dentistry, L.C.
• Perry SNF Operator LLC
• Phoenix Rising Counseling, LLC
• Juan Carlos Ramirez, REGISTERED DIETITIAN
• Megan Reed, LMSW
• Renal Treatment Centers Illinois Inc (Perry Dialysis)

• Skilled Nursing Facility in Perry, IA
• Providers in Perry, 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 Oct 7, 2020; 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.