NPIMap

Organization Active NPI

Marshalltown Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Marshalltown, IA
National Provider Identifier
1871372029
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MARSHALLTOWN SKILLED NURSING FACILITY LLC
Practice address
910 E Olive St
Marshalltown, IA 50158-4175
Phone
(641) 752-4581
NPI assigned
Sep 27, 2023
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Anna Hintz
Title
Vice President of Revenue
Phone
(847) 308-2921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

910 E Olive St
Marshalltown, IA 50158-4175

Mailing address

910 E Olive St
Marshalltown, IA 50158-4175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920000674 IA Part A Provider - Skilled Nursing Facility 0244771061 Practice locations: Marshalltown, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871372029. Details of each certification follow.

Skilled nursing facility certification: CCN 165385

Legal name
MARSHALLTOWN SKILLED NURSING FACILITY LLC
Doing business as
HARMONY MARSHALLTOWN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1998
Last certification
Dec 12, 2024
Beds
72
Ownership / control type
Corporation
Multi-facility organization
Legacy Healthcare
Organization structure
LLCProprietary
Incorporated
Nov 13, 2023 in DE
Enrollment address
910 E Olive St
Marshalltown, IA 50158-4175
Nursing home name
HARMONY MARSHALLTOWN
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harmony MarshalltownCCN 165385 · All quality measures
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
For profit - Corporation
Certified
Feb 1, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7251.3 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
1Fines totaling $78,878

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0382928Harmony Marshalltown910 East Olive Street, Marshalltown, IA 50158Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 44

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

NameRoleSinceShare
Individual Indirect Ownership Interest Aug 15, 2024 4.5%
Justina Dhondt Individual Operational/Managerial Control Jan 17, 2025
Amy Wright Individual Operational/Managerial Control Jan 17, 2025
Sandra Staudt Individual Operational/Managerial Control Jan 17, 2025
Mindy Houston Individual Operational/Managerial Control Jan 17, 2025
Larina Heying Individual Operational/Managerial Control Jan 17, 2025
Gorgona Sub Holdco LLC Organization, Skokie, IL LLC, Holding company, For-profit Adp of the SNF Jan 17, 2025
Jenny Borcherding Individual Operational/Managerial Control Jan 17, 2025
Joshua Seu Individual Operational/Managerial Control Jan 17, 2025
Individual Indirect Ownership Interest Aug 15, 2024 4.5%
Jennifer Hedberg Individual Operational/Managerial Control Jan 17, 2025
Laura Friedenberg Individual Operational/Managerial Control Jan 17, 2025
Karla Beasley Individual Operational/Managerial Control Jan 17, 2025
Iowa Portfolio Opco Holdings LLC Organization, Skokie, IL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 15, 2024 100%
Menachem Shabat Individual Corporate OfficerPresident Aug 15, 2024
Operational/Managerial Control Jan 17, 2025
Adp of the SNF Jan 17, 2025
Patricia Otterbeck Individual Operational/Managerial Control Jan 17, 2025
MN8 RH Holdco LLC Organization, Skokie, IL LLC, Holding company Adp of the SNF Jan 17, 2025
Mordechay Ninio Individual Indirect Ownership Interest Aug 15, 2024 4.5%
Daniel Garden Individual Indirect Ownership Interest Aug 15, 2024 4.5%
Melissa Larson Individual Operational/Managerial Control Jan 17, 2025
Dorothy L McClure Individual Operational/Managerial Control Jan 17, 2025
Chaim Rajchenbach Individual Operational/Managerial Control Jan 17, 2025
Adp of the SNF Jan 17, 2025
Elizabeth Van Veghel Individual Operational/Managerial Control Jan 17, 2025
Individual Indirect Ownership Interest Aug 15, 2024 4.5%
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Indirect Ownership Interest Aug 15, 2024 45.5%
Bobbie Wierschem Individual Operational/Managerial Control Jan 17, 2025
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, Management services company, For-profit Operational/Managerial Control Aug 15, 2024
Kiley Shear Individual Operational/Managerial Control Jan 17, 2025
Oakway Operations LLC Organization, Skokie, IL LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 15, 2024 22.5%
Cascade Capital Partners LLC Organization, Skokie, IL LLC, Holding company, For-profit Adp of the SNF Jan 17, 2025
Steven T Scurr Individual Operational/Managerial Control Jan 17, 2025
Rosemary Wood Individual Operational/Managerial Control Jan 17, 2025
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Indirect Ownership Interest Aug 15, 2024 5%
Linsey Behounek Individual Operational/Managerial Control Jan 17, 2025
Kathleen Scott Individual Operational/Managerial Control Jan 17, 2025
CCG Gorgona LLC Organization, Skokie, IL LLC, Holding company, For-profit Adp of the SNF Jan 17, 2025
Sheri Burken Individual 5% Or Greater Indirect Ownership InterestVice President of Operations Aug 15, 2024
Gorgona Propco Holdings LLC Organization, Skokie, IL LLC, Holding company, For-profit Adp of the SNF Jan 17, 2025
Christina Hennager Individual Operational/Managerial Control Jan 17, 2025
Grace Alayna Maitland Individual Operational/Managerial Control Aug 15, 2024
Cascade Capital Holdings LLC Organization, Skokie, IL LLC, Holding company, For-profit Adp of the SNF Jan 17, 2025
Michele Knutson Individual Operational/Managerial Control Jan 17, 2025
Krystle Jaeger Individual Operational/Managerial Control Jan 17, 2025
Gorgona Holdco LLC Organization, Skokie, IL LLC, Holding company, For-profit Adp of the SNF Jan 17, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 89

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

View all 89

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": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1871372029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E OLIVE ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E OLIVE ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584175",
            "telephone_number": "641-752-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALLTOWN SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "HINTZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF REVENUE",
        "authorized_official_telephone_number": "847-308-2921"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.