Webster City Ia Skilled Nursing Facility, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEBSTER CITY IA SKILLED NURSING FACILITY, LLC

Practice address

2416 Des Moines St
Webster City, IA 50595-3049

Phone

(515) 832-3881

NPI assigned

Nov 22, 2023

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

Skilled nursing facility certification: CCN 165411

Legal name

WEBSTER CITY IA SKILLED NURSING FACILITY LLC

Doing business as

SOUTHFIELD WELLNESS COMMUNITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1999

Last certification

Mar 3, 2025

Beds

65

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Legacy Healthcare LLC

Organization structure

LLCProprietary

Enrollment address

2416 Des Moines St
Webster City, IA 50595-3049

Nursing home name

SOUTHFIELD WELLNESS COMMUNITY

Affiliated entity

LEGACY HEALTHCARE

Listed as

Southfield Wellness CommunityCCN 165411

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6553.9 residents per day on average

Chain

Legacy Healthcare89 facilities in the chain

Penalties (3 years)

2Fines totaling $71,897

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Webster City 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.

• Webster City Ia Skilled Nursing Facility, LLC

  • Assisted Living Facility
  • Webster City, IA
  • NPI 1912772559
  NPD tax ID

All disclosed owners & managing parties 37

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

Affiliated clinicians 4

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

• Juliana Kay Bormann, ARNP

  • Nurse Practitioner
  • Bode, IA
  • NPI 1912797259

  Nursing home

  Care Compare affiliation
• Anne Jones, ARNP

  • Family Nurse Practitioner
  • Clear Lake, IA
  • NPI 1801337795

  Nursing home

  Care Compare affiliation
• Brittany Lauren Schumacher, ARNP

  • Nurse Practitioner
  • Ames, IA
  • NPI 1164270237

  Nursing home

  Care Compare affiliation
• Jade A Williams, ARNP

  • Nurse Practitioner
  • Webster City, IA
  • NPI 1689212011

  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": "1881469583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 DES MOINES ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505953049",
            "telephone_number": "515-832-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 DES MOINES ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505953049",
            "telephone_number": "515-832-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER CITY 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": []
}

• Jordan Jay Wagner, PHARMD
• Webster Care Corporation
• Webster Care Corporation
• Webster City Community School District
• Webster City Ia Assisted Living LLC
• Webster City Ia Skilled Nursing Facility, LLC
• Webster City Medical Services PC
• Webster City Medical Services, PC
• Edison Weig
• White Drug Enterprises Inc

• Skilled Nursing Facility in Webster City, IA
• Providers in Webster City, 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.