NPIMap

Organization Active NPI

Evans Memorial Home for the Aged, Inc.

  • Skilled Nursing Facility
  • Cresco, IA
National Provider Identifier
1780801175
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
450329 Issued in IA
Legal business name
EVANS MEMORIAL HOME FOR THE AGED, INC.
Practice address
1010 N Elm St
Cresco, IA 52136-1083
Phone
(563) 547-2364
Fax
(563) 547-5013
NPI assigned
Apr 19, 2007
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Brendon Kacher
Title
Board President
Phone
(563) 419-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 450329 IA Primary

Addresses

Primary practice location

1010 N Elm St
Cresco, IA 52136-1083

Mailing address

1010 N Elm St
Cresco, IA 52136-1083
Phone (563) 547-2364

Other identifiers 1

IdentifierTypeStateIssuer
0461509MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Cresco Assisted Living3 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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1780801175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N ELM ST",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361083",
            "telephone_number": "563-547-2364",
            "fax_number": "563-547-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N ELM ST",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361083",
            "telephone_number": "563-547-2364",
            "fax_number": "563-547-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS MEMORIAL HOME FOR THE AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "KACHER",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "563-419-2793"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "450329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461509",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresco, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.