Active NPI
Christian Retirement Services Inc
Doing business as Oaknoll Retirement Residence
- Skilled Nursing Facility
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 520402
- Legal business name
- CHRISTIAN RETIREMENT SERVICES INC
- Doing business as
- Oaknoll Retirement Residence
- Practice address
- 1 Oaknoll CT
Iowa City, IA 52246-5250 - Phone
- (319) 351-1720
- Fax
- (319) 351-6772
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 9, 2025
- 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
- Steve Roe
- Title
- Ceo
- Phone
- (319) 466-3006
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | N402 | IA | |
| Skilled Nursing Facility | 314000000X | 520402 | IA | Primary |
Addresses
Primary practice location
1 Oaknoll CT
Iowa City, IA 52246-5250
Mailing address
1 Oaknoll CT
Iowa City, IA 52246-5250
Phone (319) 351-1720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65030 | Other | WELLMARK BCBS | |
| 0802975 | Medicaid | IA |
Other names 1
- Oaknoll Retirement Residence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070521000261 | IA | Part A Provider - Skilled Nursing Facility | 1052418498 | Practice locations: Iowa City, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1871523027. Details of each certification follow.
Skilled nursing facility certification: CCN 165030
- Legal name
- CHRISTIAN RETIREMENT SERVICES INC
- Doing business as
- OAKNOLL RETIREMENT RESIDENCE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 30, 1988
- Last certification
- Aug 28, 2024
- Beds
- 70
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 1 Oaknoll CT
Iowa City, IA 52246-5250 - Nursing home name
- OAKNOLL RETIREMENT RESIDENCE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oaknoll Retirement Residence
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 30, 1988
- Medicare certification status
- Active
- Certified beds
- 70
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 |
|---|---|---|---|
| 16D0665938 | Oaknoll Retirement Residence | Certificate of waiver | Aug 31, 2026 |
| 16D2192746 | Oaknoll Retirement Residence - Assisted Living | Certificate of waiver | Sep 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
1 Oaknoll Ct
Iowa City, IA 52246
Phone (319) 351-1720
Ownership & related parties
All disclosed owners & managing parties 30
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 |
|---|---|---|---|
| Rebecca Porter | 5% Or Greater Direct Ownership Interest | Jan 1, 2020 | 5% |
| Corporate Director | Jan 1, 2020 | 5% | |
| Managing Control - Governing Body | Jan 1, 2020 | ||
| Charlie Nusser | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 5% |
| Corporate Director | Jan 1, 2025 | 5% | |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Christy Pommrehn | Operational/Managerial Control | Jul 2, 2025 | |
| Kaleigh Gilmore | Operational/Managerial Control | Mar 15, 2016 | |
| Stephen J. Roe | 5% Or Greater Direct Ownership Interest | Oct 16, 2016 | 5% |
| Corporate Officer | Oct 16, 2016 | 5% | |
| Midwestone Bank | 5% Or Greater Mortgage Interest | Feb 19, 2015 | 56.9% |
| Jeannette Hall | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 5% |
| Corporate Director | Jan 1, 2021 | 5% | |
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Thomas J. Bender | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 5% |
| Corporate Officer | Jan 1, 2021 | 5% | |
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Sheila McBride | Operational/Managerial Control | Oct 20, 2000 | |
| Darcy M Sanford | 5% Or Greater Direct Ownership Interest | Jul 8, 2016 | 5% |
| Corporate Officer | Jul 8, 2016 | 5% | |
| Elizabeth Swanson | 5% Or Greater Direct Ownership Interest | Jan 1, 2022 | 5% |
| Corporate Director | Jan 1, 2022 | 5% | |
| Managing Control - Governing Body | Jan 1, 2022 | ||
| Sara Ruhlmann | Operational/Managerial Control | Feb 23, 2011 | |
| Aaron Comstock | Operational/Managerial Control | Jun 1, 2021 | |
| Katerina Beyerink | Operational/Managerial Control | Dec 28, 2018 | |
| Adp of the SNF | Dec 28, 2018 | ||
| Christopher J Goerdt | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 5% |
| Corporate Director | Jan 1, 2023 | 5% | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Michael Vervaecke | 5% Or Greater Direct Ownership Interest | Aug 1, 2022 | 5% |
| Corporate Director | Aug 1, 2022 | 5% | |
| Managing Control - Governing Body | Aug 1, 2022 | ||
| Ryan O'Leary | 5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 5% |
| Corporate Director | Jan 1, 2024 | 5% | |
| Managing Control - Governing Body | Jan 1, 2024 | ||
| Roger Dykstra | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 5% |
| Corporate Director | Jan 1, 2023 | 5% | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Margaret Reese | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 5% |
| Corporate Officer | Jan 1, 2021 | 5% | |
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Kristin Gilbreth | 5% Or Greater Direct Ownership Interest | Jun 23, 2024 | 5% |
| Corporate Officer | Jun 23, 2024 | 5% | |
| Gregory Jones | Operational/Managerial Control | Feb 22, 2008 | |
| John McKinstry | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 5% |
| Corporate Director | Jan 1, 2021 | 5% | |
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Ann Ricketts | 5% Or Greater Direct Ownership Interest | Aug 1, 2019 | 5% |
| Corporate Director | Aug 1, 2019 | 5% | |
| Managing Control - Governing Body | Aug 1, 2019 | ||
| Nicholas R Butler | Operational/Managerial Control | Jul 1, 2018 | |
| Adp of the SNF | Jul 1, 2018 | ||
| Lindsey Reed | Operational/Managerial Control | Apr 10, 2007 | |
| Susan Mims | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 5% |
| Corporate Director | Jan 1, 2023 | 5% | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Sarah Richardson | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 5% |
| Corporate Director | Jan 1, 2023 | 5% | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Peter J Kaboli | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 5% |
| Corporate Director | Jan 1, 2021 | 5% | |
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Retha Haas | 5% Or Greater Direct Ownership Interest | Jul 2, 2024 | 5% |
| Corporate Officer | Jul 2, 2024 | 5% | |
| Taylor Wheeler | 5% Or Greater Direct Ownership Interest | Jul 2, 2025 | 5% |
| Corporate Officer | Jul 2, 2025 | 5% | |
| Operational/Managerial Control | Jul 2, 2025 | ||
| Adp of the SNF | Oct 13, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Coralville, IA
- NPI 1427285071
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 16
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Coralville, IA
- NPI 1053388686
Nursing home
-
- Family Medicine Physician
- Coralville, IA
- NPI 1790983989
Nursing home
-
- Medical Physician Assistant
- Iowa City, IA
- NPI 1679925069
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752019200000",
"number": "1871523027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OAKNOLL CT",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522465250",
"telephone_number": "319-351-1720",
"fax_number": "319-351-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OAKNOLL CT",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522465250",
"telephone_number": "319-351-1720",
"fax_number": "319-351-6772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN RETIREMENT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A",
"authorized_official_last_name": "ROE",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "319-466-3006"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IA",
"license": "N402",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "520402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "65030",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0802975",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oaknoll Retirement Residence",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oaknoll Retirement Residence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.