Eastern Star Masonic Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-0268 Issued in IA

Legal business name

EASTERN STAR MASONIC HOME

Practice address

715 W Mamie Eisenhower Ave
Boone, IA 50036-3930

Phone

(515) 432-5274

Fax

(515) 432-5276

NPI assigned

May 23, 2005

Last updated

Jan 27, 2025By 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

Scott Dylan Armstrong

Title

Director of Compliance

Phone

(515) 709-4398

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740283795. Details of each certification follow.

• CCN 165468 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165468

Legal name

EASTERN STAR MASONIC HOME

Doing business as

EASTERN STAR MASONIC HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 2002

Last certification

Apr 24, 2025

Beds

76

Ownership / control type

Other Nonprofit

Organization structure

CorporationProprietary

Enrollment address

715 3Rd St
Boone, IA 50036-4232

Nursing home name

EASTERN STAR MASONIC HOME

Listed as

Eastern Star Masonic HomeCCN 165468 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Sep 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7670.3 residents per day on average

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

Tax ID family

Eastern Star Masonic Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Eastern Star Masonic Home

  dba Courtyard Terrace

  • Assisted Living Facility
  • Boone, IA
  • NPI 1568531846
  NPD tax ID
• Eastern Star Masonic Home

  • Custodial Care Facility
  • Boone, IA
  • NPI 1619046596
  NPD tax ID

All disclosed owners & managing parties 59

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.

• Joshua James Anderson, DO

  • Family Medicine Physician
  • Boone, IA
  • NPI 1427284645

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Guardian Pharmacy of Iowa LLC

  • Long Term Care Pharmacy
  • Ankeny, IA
  • NPI 1376055616

  Adp of the SNF

  CMS ownership
• Guardian Pharmacy of Iowa LLC

  • Long Term Care Pharmacy
  • Cedar Rapids, IA
  • NPI 1447762885

  Adp of the SNF

  CMS ownership
• Guardian Pharmacy of Iowa LLC

  dba Right Dose Pharmacy

  • Long Term Care Pharmacy
  • Storm Lake, IA
  • NPI 1912746637

  Adp of the SNF

  CMS ownership
• Aegis Therapies, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Maysville, KY
  • NPI 1912370644

  Adp of the SNF

  CMS ownership

Facilities with the same owner 1

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

• St Anthony Senior Services LLC

  • Skilled Nursing Facility
  • Carroll, IA
  • NPI 1669268330

  Brighton Consulting Group LLC

  CMS ownership

Affiliated clinicians 9

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

• Joshua James Anderson, DO

  • Family Medicine Physician
  • Boone, IA
  • NPI 1427284645

  Nursing home

  Care Compare affiliation
• Shauna M. Basener, DO

  • Internal Medicine Physician
  • Ames, IA
  • NPI 1902060759

  Nursing home

  Care Compare affiliation
• Grant Dennis Doolittle, DO

  • Internal Medicine Physician
  • Ames, IA
  • NPI 1457464836

  Nursing home

  Care Compare affiliation
• Devi Dunker, D.O.

  • Family Medicine Physician
  • Boone, IA
  • NPI 1881959971

  Nursing home

  Care Compare affiliation
• Trishia A Filipiak, MD

  • Family Medicine Physician
  • Boone, IA
  • NPI 1033402375

  Nursing home

  Care Compare affiliation
• Adam Scott Gordon, MD

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1568038834

  Nursing home

  Care Compare affiliation
• Kelsie Marie Holmes, D.O.

  • Family Medicine Physician
  • Boone, IA
  • NPI 1740818954

  Nursing home

  Care Compare affiliation
• Kathryn S Linkenmeyer, MD

  • Family Medicine Physician
  • Boone, IA
  • NPI 1912498981

  Nursing home

  Care Compare affiliation
• Eric M Peterson, MD

  • Family Medicine Physician
  • Boone, IA
  • NPI 1710955877

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1740283795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MAMIE EISENHOWER AVE",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500363930",
            "telephone_number": "515-432-5274",
            "fax_number": "515-432-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAMIE EISENHOWER AVE",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500363930",
            "telephone_number": "515-432-5274",
            "fax_number": "515-432-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN STAR MASONIC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DYLAN",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "515-709-4398"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IA",
            "license": "R-268",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "N-0268",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-0268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Downs, MD
• Brent Allen Drzycimski, DPT
• Devi Dunker, D.O.
• Eastern Star Masonic Home (Courtyard Terrace)
• Eastern Star Masonic Home
• Embodied Therapy PLLC
• John G Erickson, DPM
• Lisa A Erickson
• Jocelyn Evans, RD, LD
• Expressions Dental, L.L.C.

• Skilled Nursing Facility in Boone, IA
• Providers in Boone, 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 Jan 27, 2025; 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.