Nevada Ia Skilled Nursing Facility, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NEVADA IA SKILLED NURSING FACILITY, LLC

Practice address

100 6TH St
Nevada, IA 50201-2502

Phone

(515) 382-6556

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By 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

Chaim Rajchenbach

Title

Principal

Phone

(847) 745-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871368571. Details of each certification follow.

• CCN 165361 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165361

Legal name

NEVADA IA SKILLED NURSING FACILITY LLC

Doing business as

ROLLING GREEN VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1997

Last certification

Nov 14, 2024

Beds

58

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Legacy Healthcare

Organization structure

LLCProprietary

Enrollment address

100 6TH St
Nevada, IA 50201-2502

Nursing home name

ROLLING GREEN VILLAGE CARE CENTER

Affiliated entity

LEGACY HEALTHCARE

Listed as

Rolling Green Village Care CenterCCN 165361 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5844.4 residents per day on average

Chain

Legacy Healthcare89 facilities in the chain

Penalties (3 years)

1Fines totaling $9,347

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Nevada Ia Skilled Nursing Facility LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nevada Ia Skilled Nursing Facility, LLC

  • Assisted Living Facility
  • Nevada, IA
  • NPI 1659146298
  NPD tax ID

All disclosed owners & managing parties 33

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brian Whyms, DO

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1821440066

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 68

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Allison Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Allison, IA
  • NPI 1538934229

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Aplington Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Aplington, IA
  • NPI 1326813015

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Armstrong Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Armstrong, IA
  • NPI 1316712011

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Battle Creek Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Battle Creek, IA
  • NPI 1487429189

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Belmond Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Belmond, IA
  • NPI 1982479671

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Bloomfield Ia Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Bloomfield, IA
  • NPI 1093580821

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Britt Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Britt, IA
  • NPI 1851166557

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Cedar Rapids Skilled Nursing Facility LLC

  dba Harmony Cedar Rapids

  • Skilled Nursing Facility
  • Cedar Rapids, IA
  • NPI 1699489385

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Clear Lake Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Clear Lake, IA
  • NPI 1114792801

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Davenport Skilled Nursing Facility LLC

  dba Harmony Davenport

  • Skilled Nursing Facility
  • Davenport, IA
  • NPI 1780398842

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Des Moines Skilled Nursing Facility LLC

  dba Harmony West Des Moines

  • Skilled Nursing Facility
  • West Des Moines, IA
  • NPI 1861106924

  Legacy Healthcare Financial Services LLC

  CMS ownership
• Dubuque Skilled Nursing Facility LLC

  dba Harmony Dubuque

  • Skilled Nursing Facility
  • Dubuque, IA
  • NPI 1104530286

  Legacy Healthcare Financial Services LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Whyms, DO

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1821440066
  NPD (past)

Affiliated clinicians 5

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

• Pierre Rene' Bernard, DO

  • Family Medicine Physician
  • Nevada, IA
  • NPI 1114914520

  Nursing home

  Care Compare affiliation
• Arthur P Check, DO

  • Family Medicine Physician
  • Nevada, IA
  • NPI 1760455323

  Nursing home

  Care Compare affiliation
• Anna Ruth Holzer, MD

  • Family Medicine Physician
  • Altoona, IA
  • NPI 1457664799

  Nursing home

  Care Compare affiliation
• Molly Christine Thompson, DO

  • Emergency Medicine Physician
  • Nevada, IA
  • NPI 1053981241

  Nursing home

  Care Compare affiliation
• Brian Whyms, DO

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1821440066

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1871368571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 6TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012502",
            "telephone_number": "515-382-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 6TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012502",
            "telephone_number": "515-382-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA IA SKILLED NURSING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Nevada, IA
• Providers in Nevada, 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 Nov 22, 2023; 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.