Active NPI
Evangelical Retirement Homes, Inc.
- Skilled Nursing Facility
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NF-333
- Legal business name
- EVANGELICAL RETIREMENT HOMES, INC.
- Practice address
- 2571 Guthrie Ave
Des Moines, IA 50317-3019 - Phone
- (515) 265-2571
- Fax
- (515) 265-3044
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seelochani Stadtherr
- Title
- Avp, Revenue Cycle Management
- Phone
- (952) 855-5041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NF-333 | IA | Primary |
Addresses
Primary practice location
2571 Guthrie Ave
Des Moines, IA 50317-3019
Mailing address
7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0804088 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080104000569 | IA | Part A Provider - Skilled Nursing Facility | 4183535511 | Practice locations: Des Moines, IA |
Skilled nursing facility certification: CCN 165507
- Legal name
- EVANGELICAL RETIREMENT HOMES, INC.
- Doing business as
- VALLEY VIEW VILLAGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 2004
- Last certification
- May 8, 2025
- Beds
- 79
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Cassia Living
- Organization structure
- Corporation
- Incorporated
- Apr 16, 1962 in IA
- Enrollment address
- 2571 Guthrie Ave
Des Moines, IA 50317-3019 - Nursing home name
- VALLEY VIEW VILLAGE
- Affiliated entity
- CASSIA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Valley View Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 1, 2004
- Medicare certification status
- Active
- Certified beds
- 79
- Chain
- Cassia
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0383867 | Valley View Village | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Guy P Tangedahl | Corporate Director | Feb 19, 2007 | |
| Elim Care Inc | 5% Or Greater Direct Ownership Interest | Feb 19, 2007 | 100% |
| William S Leff | Corporate Director | Feb 19, 2007 | |
| Roland L Peterson | Corporate Director | Feb 19, 2007 | |
| Stephanie J Proper | W-2 Managing Employee | Jan 3, 2017 | |
| Gerald Thomas Nye | Corporate Director | Jun 13, 2019 | |
| Kathryn Lee Youngquist | Corporate Officer | Feb 19, 2007 | |
| Cassia | Operational/Managerial Control | Jan 1, 2020 | |
| Robert Mahlon Dahl | Corporate Officer | Feb 19, 2007 | |
| Matthew Ray Kern | Corporate Officer | Feb 28, 2019 |
Facilities with the same owner 19
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Dassel, MN
- NPI 1710186838
Cassia
-
- Skilled Nursing Facility
- Apple Valley, MN
- NPI 1790733483
Cassia
-
- Skilled Nursing Facility
- Hastings, MN
- NPI 1205884004
Cassia
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1831209279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7171 OHMS LN",
"city": "EDINA",
"state": "MN",
"postal_code": "554392142",
"telephone_number": "952-855-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2571 GUTHRIE AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503173019",
"telephone_number": "515-265-2571",
"fax_number": "515-265-3044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANGELICAL RETIREMENT HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "STADTHERR",
"authorized_official_first_name": "SEELOCHANI",
"authorized_official_title_or_position": "AVP, REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "952-855-5041"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "NF-333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0804088",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.