Organization Active NPI

Opco Granger, Ia, LLC

Doing business as Campbell Street Cares For Granger

  • Skilled Nursing Facility
  • Granger, IA
National Provider Identifier
1851922389
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OPCO GRANGER, IA, LLC
Doing business as
Campbell Street Cares For Granger
Practice address
2001 Kennedy St
Granger, IA 50109-9746
Phone
(515) 999-2588
NPI assigned
Feb 3, 2020
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 Primary

Addresses

Primary practice location

2001 Kennedy St
Granger, IA 50109-9746

Mailing address

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

Other names 2

  • Campbell Street Cares For Granger Doing business as
  • Granger Nursing and Rehabilitation Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200327000255 IA Part A Provider - Skilled Nursing Facility 6608205687 Practice locations: Granger, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851922389. Details of each certification follow.

Skilled nursing facility certification: CCN 165208

Legal name
OPCO GRANGER, IA, LLC
Doing business as
GRANGER NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1994
Last certification
Jan 9, 2025
Beds
67
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Campbell Street
Organization structure
LLCProprietary
Enrollment address
2001 Kennedy St
Granger, IA 50109-9746
Nursing home name
GRANGER NURSING & REHABILITATION CENTER
Affiliated entity
CAMPBELL STREET SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Granger Nursing & Rehabilitation CenterCCN 165208 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6750.4 residents per day on average
Chain
Campbell Street Services22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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 Mar 1, 2020
Adp of the SNF Mar 1, 2020
Managerco Goldfinch, LLC Organization, Chicago, IL LLC, Management services company Operational/Managerial Control Mar 1, 2020
Adp of the SNF Apr 23, 2025
Jason Dunlap Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
Holdco Tabletop, LLC Organization, Chicago, IL Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 100%
Robert D Conner Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Investco Tabletop, LLC Organization, Chicago, IL Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 97.5%
Managerco New London, MN, LLC Organization, Chicago, IL LLC Operational/Managerial Control Mar 1, 2020
Adp of the SNF Apr 29, 2025
Chitai Investment, LLC Organization, Cambridge, MA LLC, 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%
Techcare Corp Organization, Sharpsburg, GA Investment firm Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 12.53%
Realco Granger, Ia, LLC Organization, Chicago, IL LLC 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 Mar 20, 2025
Holdco Goldfinch, LLC Organization, Chicago, IL 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 1

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": "1791936000000",
    "number": "1851922389",
    "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": "2001 KENNEDY ST",
            "city": "GRANGER",
            "state": "IA",
            "postal_code": "501099746",
            "telephone_number": "515-999-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCO GRANGER, IA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Street Cares For Granger",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granger Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granger Nursing and Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Granger, IA

Sources for this page

Verify at the official NPI Registry.