NPIMap

Organization Active NPI

Opco Carroll, Ia, LLC

Doing business as Regency Park Nursing and Rehabilitation Center of Carroll

  • Skilled Nursing Facility
  • Carroll, IA
National Provider Identifier
1700417235
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OPCO CARROLL, IA, LLC
Doing business as
Regency Park Nursing and Rehabilitation Center of Carroll
Practice address
500 E Valley Dr
Carroll, IA 51401-3140
Phone
(312) 724-8950
NPI assigned
Feb 3, 2020
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Isaac Dole
Title
President of Manager
Phone
(872) 282-8001

Specialties & licenses 1

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

Addresses

Primary practice location

500 E Valley Dr
Carroll, IA 51401-3140

Mailing address

2045 W Grand Ave Ste B34572
Chicago, IL 60612-1576
Phone (872) 282-8001

Other names 1

  • Regency Park Nursing and Rehabilitation Center of Carroll Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200721002326 IA Part A Provider - Skilled Nursing Facility 7810326865 Practice locations: Carroll, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700417235. Details of each certification follow.

Skilled nursing facility certification: CCN 165231

Legal name
OPCO CARROLL IA LLC
Doing business as
REGENCY PARK NURSING AND REHABILITATION CENTER OF CARROLL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 28, 1994
Last certification
Oct 31, 2024
Beds
46
Ownership / control type
Corporation
Multi-facility organization
Campbell Street Services
Organization structure
LLCProprietary
Enrollment address
500 E Valley Dr
Carroll, IA 51401-3140
Nursing home name
REGENCY PARK NURSING & REHAB CENTER OF CARROLL
Affiliated entity
CAMPBELL STREET SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency Park Nursing & Rehab Center of CarrollCCN 165231 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 28, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4633.7 residents per day on average
Chain
Campbell Street Services22 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
16D0385583Regency Park Nursing and Rehabilitation Center500 Valley Drive, Carroll, IA 51401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

500 E Valley Dr
Carroll, IA 51401
Phone (712) 792-9281

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Isaac S Dole Individual Operational/Managerial Control Oct 17, 2019
Adp of the SNF Mar 1, 2020
Managerco Goldfinch, LLC Organization, Chicago, IL LLC Operational/Managerial Control Mar 1, 2020
Adp of the SNF May 19, 2025
Holdco Tabletop, LLC Organization, Chicago, IL LLC, Holding company Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 100%
Michael John Slattery Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Realco Carroll, Ia, LLC Organization, Chicago, IL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2020 100%
Adp of the SNF Mar 1, 2020
Investco Tabletop, LLC Organization, Chicago, IL Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 97.5%
Chitai Investment, LLC Organization, Cambridge, MA Investment firm Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 12.52%
Dominic Curcio Individual Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 8.35%
Crystal Eve Harrison Individual Operational/Managerial Control Nov 25, 2023
Adp of the SNF Nov 25, 2023
Techcare Corp Organization, Sharpsburg, GA Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 12.53%
James T Feauto Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020
Campbell Street Services LLC Organization, Chicago, IL LLC, Management services company, Chain home office Operational/Managerial Control Mar 1, 2020
Adp of the SNF May 19, 2025
Holdco Goldfinch, LLC Organization, Chicago, IL LLC, Holding company Adp of the SNF Mar 1, 2020
Direct Ownership Interest Mar 1, 2020 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1700417235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "872-282-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E VALLEY DR",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013140",
            "telephone_number": "312-724-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCO CARROLL, IA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "872-282-8001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Park Nursing and Rehabilitation Center of Carroll",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regency Park Nursing and Rehabilitation Center of Carroll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.