Fort Madison Health Center Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FORT MADISON HEALTH CENTER OPERATIONS LLC

Doing business as

The Madison

Practice address

1702 41St St
Fort Madison, IA 52627-3269

Phone

(319) 372-8021

NPI assigned

Feb 6, 2020

Last updated

Feb 6, 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

Mr. Mark Holtkamp

Title

Managing Member

Phone

(319) 644-3479

Specialties & licenses 1

Addresses

Other names 1

• The Madison 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 1821620097. Details of each certification follow.

• CCN 165227 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165227

Legal name

FORT MADISON HEALTH CENTER OPERATIONS LLC

Doing business as

BIRKWOOD VILLAGE OF FORT MADISON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 20, 1993

Last certification

Apr 24, 2025

Beds

80

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Dec 6, 2019 in IA

Enrollment address

1702 41St St
Fort Madison, IA 52627-3269

Nursing home name

BIRKWOOD VILLAGE OF FORT MADISON

Listed as

Birkwood Village of Fort MadisonCCN 165227 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 20, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8061.4 residents per day on average

Penalties (3 years)

1Fines totaling $3,145

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

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

Affiliated clinicians 2

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

• Dean Jeffrey Vantiger, CFNP

  • Family Nurse Practitioner
  • West Burlington, IA
  • NPI 1609285279

  Nursing home

  Care Compare affiliation
• Taylor Rae Torrance, APRN, FNP-BC

  • Family Nurse Practitioner
  • Gladstone, IL
  • NPI 1225807308

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1821620097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 TIMBERLAND CT NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523334703",
            "telephone_number": "319-644-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 41ST ST",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273269",
            "telephone_number": "319-372-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MADISON HEALTH CENTER OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "HOLTKAMP",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "319-644-3479",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Edward Ellison, RPH
• Empowerme Asl, LLC
• Kaitlyn Marie Fedler, DNP
• Beth Janette Fisher, PHARM. D
• Fort Madison C.S.D.
• Fort Madison Health Center, Inc. (The Madison)
• Fort Madison Health Center, Inc.
• Fort Madison Lenscrafters (Fort Madison Eye Clinic)
• Nichole Robin Francis, ARNP-C
• Sara M Garcia, PHARM. D.

• Skilled Nursing Facility in Fort Madison, IA
• Providers in Fort Madison, 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 Feb 6, 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.