Organization Active NPI

Community Care Center Inc

Doing business as Community Care Center

  • Skilled Nursing Facility
  • Stuart, IA
National Provider Identifier
1699768630
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMMUNITY CARE CENTER INC
Doing business as
Community Care Center
Practice address
325 SW 7TH St
Stuart, IA 50250-2098
Phone
(515) 523-2815
Fax
(515) 523-9123
NPI assigned
Aug 24, 2005
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Maradith Anette Janssen
Title
Administrator
Phone
(515) 523-2815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

325 SW 7TH St
Stuart, IA 50250-2098

Mailing address

325 SW 7TH St
Stuart, IA 50250-2098
Phone (515) 523-2815

Other identifiers 2

IdentifierTypeStateIssuer
0800813MedicaidIA
0147108OtherIAELDERLY WAIVER

Other names 1

  • Community Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@stuartcommunitycare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030729000001 IA Part A Provider - Skilled Nursing Facility 6204747066 Practice locations: Stuart, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699768630. Details of each certification follow.

Skilled nursing facility certification: CCN 165501

Legal name
COMMUNITY CARE CENTER, INC
Doing business as
COMMUNITY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 2003
Last certification
Nov 21, 2024
Beds
65
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
325 SW 7TH St
Stuart, IA 50250-2098
Nursing home name
COMMUNITY CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Community Care CenterCCN 165501 · All quality measures
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6550.7 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
16D0689071Community Care Center325 SW 7TH Street, Stuart, IA 50250Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

325 SW 7th St
Stuart, IA 50250
Phone (515) 523-2815

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Wayne Earl Gilman Individual Corporate DirectorDirector Sep 22, 2022 11%
Maradith a Janssen Individual Operational/Managerial Control Apr 13, 2021
Adp of the SNF Feb 20, 2025
William E. Bump Individual Corporate OfficerPresident Jan 1, 1997 11%
Sharon Sue Doud Individual Corporate DirectorDirector Dec 4, 2018 11%
Organization, Muscatine, IA LLC, For-profit Adp of the SNF Dec 9, 2025
James Ward Belden Individual Corporate DirectorDirector Jan 1, 1999 11%
Organization, Sioux City, IA Corporation, For-profit Adp of the SNF Dec 9, 2025
Individual Adp of the SNF Jan 20, 2025
Community Care Center, Inc Organization, Stuart, IA Corporation 5% Or Greater Direct Ownership Interest Mar 13, 1970 100%
5% Or Greater Mortgage Interest Mar 13, 1970 100%
5% Or Greater Security Interest Mar 13, 1970 100%
Operational/Managerial Control Mar 13, 1970
Adp of the SNF Mar 13, 1970
Direct Ownership Interest Mar 13, 1970 100%
Myrna Hawley Individual Corporate OfficerVice President Mar 24, 2022
Corporate DirectorDirector Jan 1, 2008 11%
Cary E Gilman Individual Corporate DirectorDirector Nov 1, 2014 11%
David Martin Doud Individual Corporate OfficerSecretary/Treasurer Dec 6, 2013 11%
Sharon Kaye Sloss Individual Corporate DirectorDirector Dec 3, 2019 11%
Deborah Christine Wilson Individual Corporate DirectorDirector Mar 24, 2022 11%

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": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1699768630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SW 7TH ST",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502502098",
            "telephone_number": "515-523-2815",
            "fax_number": "515-523-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SW 7TH ST",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502502098",
            "telephone_number": "515-523-2815",
            "fax_number": "515-523-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "MARADITH",
        "authorized_official_middle_name": "ANETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-523-2815"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800813",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERLY WAIVER",
            "identifier": "0147108",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@stuartcommunitycare.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 SW 7th St",
            "city": "Stuart",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502502098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, IA

Sources for this page

Verify at the official NPI Registry.