Greenfield Manor Inc
Organization Active NPI Skilled Nursing Facility · Greenfield, IA
NPI 1902950397 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1902950397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 010620 (IA)
- Legal business name
- GREENFIELD MANOR INC
- Practice address
- 615 SE Kent St
Greenfield, IA 50849-9454 - Phone
- (641) 743-6131
- Fax
- (641) 743-2501
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Daniel Hinz
- Title
- Vice President
- Phone
- (850) 890-6277
Corporate family (same tax ID) 1
Affiliated clinicians 2
-
Jenna Evans, PA-C
-
Timothy Piearson, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Greenfield Rehabilitation & Health Care Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 22, 1998
- Medicare certification status
- Active
- Certified beds
- 46 · 42.3 residents per day on average
- Penalties (3 years)
- 2 · fines totaling $4,516
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2194533 | Greenfield Rehabilitation & Health Care Center | Certificate of waiver | Sep 30, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Skilled nursing facility certification: CCN 165383
- Legal name
- GREENFIELD MANOR INC
- Doing business as
- GREENFIELD REHABILITATION & HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 22, 1998
- Last certification
- Aug 29, 2024
- Beds
- 46
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 615 SE Kent St
Greenfield, IA 50849-9454 - Nursing home name
- GREENFIELD REHABILITATION & HEALTH CARE CENTER
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel Hinz |
Corporate Officer |
May 1, 2019 | 33.33% |
| Corporate Director |
May 1, 2019 | 33.33% | |
| W-2 Managing Employee |
May 1, 2019 | 100% | |
| Tutera Senior Living & Health Care LLC |
Operational/Managerial Control | May 1, 2019 | 100% |
| Roger Hinz |
5% Or Greater Direct Ownership Interest | Jan 1, 1990 | 50% |
| Corporate Officer |
Jan 1, 1990 | 33.33% | |
| Corporate Director |
Jan 1, 1990 | 33.33% | |
| Arlene D Hinz |
5% Or Greater Direct Ownership Interest | Jan 1, 1990 | 50% |
| Corporate Officer |
Jan 1, 1990 | 33.33% | |
| Corporate Director |
Jan 1, 1990 | 33.33% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030130000005 | IA | Part a Provider - Skilled Nursing Facility | 1052229705 | Practice locations: Greenfield, IA |
National Provider Directory
- Tax ID family
- Greenfield Assisted Living Community
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 010620 | IA | Yes |
Addresses
Primary practice location
615 SE Kent St
Greenfield, IA 50849-9454
Mailing address
615 SE Kent St
Greenfield, IA 50849-9454
Phone (641) 743-6131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0807339 | Medicaid | IA |
Other names
- Greenfield Manor
Other providers in Greenfield, IA
- Traci Goltz
- Greater Regional Medical Center
- Greater Regional Medical Center
- Greater Regional Medical Center
- Greenfield Assisted Living Community
- Greenfield Pharmacy LLC
- Nicholas Grimoskas
- GRX Holdings LLC
- Rachel Hall
- Glen D Hanson
All providers in Greenfield, IA · Skilled Nursing Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.