Christian Retirement Homes, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N0407 Issued in IA

Legal business name

CHRISTIAN RETIREMENT HOMES, INC.

Practice address

4130 Northwest Blvd
Davenport, IA 52806-4243

Phone

(563) 391-3430

Fax

(563) 388-3287

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Bert Vigen

Title

Executive Director

Phone

(563) 391-3430

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Ridgecrest Village Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Skilled nursing facility certification: CCN 165049

Legal name

CHRISTIAN RETIREMENT HOMES, INC.

Doing business as

RIDGECREST VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 23, 1967

Last certification

Sep 26, 2024

Beds

137

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Incorporated

Oct 21, 1963 in IA

Enrollment address

4130 Northwest Blvd
Davenport, IA 52806-4243

Nursing home name

RIDGECREST VILLAGE

Listed as

Ridgecrest VillageCCN 165049

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Mar 23, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13754.0 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

4Fines totaling $118,886

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

All disclosed owners & managing parties 18

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.

• Amanda M Motto, DO

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1578705653

  Nursing home

  Care Compare affiliation
• Todd William Gray, MD

  • Internal Medicine Physician
  • Sterling, IL
  • NPI 1447346630

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1861484271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 NORTHWEST BLVD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064243",
            "telephone_number": "563-391-3430",
            "fax_number": "563-388-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 NORTHWEST BLVD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064243",
            "telephone_number": "563-391-3430",
            "fax_number": "563-388-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN RETIREMENT HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "VIGEN",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-391-3430"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0139",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IA",
            "license": "S0139",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "N0407",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N0407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803403",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgecrest Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce L Chouinard, ARNP
• Thomas Thomas Chowattukunnel Jr., M.D.
• Nilarun Chowdhuri, MD
• Heather Ann Christ, PHARMD
• Patti Sue Christensen, LCSW, LISW
• Bradley Christiansen
• Margaret A Christiansen, AUD
• Shannon Kathleen Christiansen, DC
• Christopher C. Friedl and Lauren E. Jensen Endodontics, PLLC
• Matthew C Christophersen, MD

• Skilled Nursing Facility in Davenport, IA
• Providers in Davenport, 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 3, 2012; 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.