Active NPI
Algona Manor Care Center, Inc
Doing business as Algona Manor Care Center
- Skilled Nursing Facility
- Algona, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 550274
- Legal business name
- ALGONA MANOR CARE CENTER, INC
- Doing business as
- Algona Manor Care Center
- Practice address
- 2221 E McGregor St
Algona, IA 50511-3006 - Phone
- (515) 295-3505
- Fax
- (515) 295-5603
- NPI assigned
- Aug 24, 2005
- Last updated
- Jan 11, 2022
- 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
- Linda K Juckette
- Title
- President
- Phone
- (515) 223-6064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 550274 | IA | Primary |
Addresses
Primary practice location
2221 E McGregor St
Algona, IA 50511-3006
Mailing address
2221 E McGregor St
Algona, IA 50511-3006
Phone (515) 295-3505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0805002 | Medicaid | IA |
Other names 1
- Algona Manor Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030527000006 | IA | Part A Provider - Skilled Nursing Facility | 9133039522 | Practice locations: Algona, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1922091131. Details of each certification follow.
Skilled nursing facility certification: CCN 165504
- Legal name
- ALGONA MANOR CARE CENTER, INC
- Doing business as
- ALGONA MANOR CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 15, 2003
- Last certification
- Aug 8, 2024
- Beds
- 46
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 2221 E McGregor St
Algona, IA 50511-3006 - Nursing home name
- ALGONA MANOR CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Algona Manor Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 15, 2003
- Medicare certification status
- Active
- Certified beds
- 46
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 |
|---|---|---|---|
| 16D0384245 | Algona Manor Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
2221 E McGregor St
Algona, IA 50511
Phone (515) 295-3505
Ownership & related parties
All disclosed owners & managing parties 76
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 |
|---|---|---|---|
| Adp of the SNF | Aug 1, 2024 | ||
| Coppage LTC Pharmacy Consulting PLC | Adp of the SNF | Jul 20, 2022 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| John M Schantzen | Operational/Managerial Control | Apr 20, 2022 | |
| Adp of the SNF | Oct 21, 2025 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Integrated Health Systems Intermediate, LLC | Adp of the SNF | Aug 25, 2015 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Capstone Management LLC | Operational/Managerial Control | Nov 1, 2014 | 100% |
| Adp of the SNF | Nov 1, 2014 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Sawyer Frideres | Operational/Managerial Control | Jan 30, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Dec 21, 2021 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Holly Reffer | Operational/Managerial Control | Jul 15, 2020 | |
| Cattail Inc | Adp of the SNF | Oct 1, 2024 | |
| BCG Holdings Inc | Adp of the SNF | Oct 1, 2024 | |
| Linda K Juckette | Corporate Officer | Nov 1, 2014 | 100% |
| Operational/Managerial Control | Nov 1, 2014 | ||
| Traverse Point Panthers | Adp of the SNF | Aug 25, 2015 | |
| Iowa Health Care Association | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Telford Lodden | Trustee of the SNF | Nov 1, 2014 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Thomas F Juckette Marital Trust | 5% Or Greater Direct Ownership Interest | Nov 1, 2014 | 100% |
| Adp of the SNF | Nov 1, 2014 | ||
| Mary Miller | Operational/Managerial Control | Mar 21, 1994 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Ecsi Inc | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Creative Planning Hold Co LLC | Adp of the SNF | Aug 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Millennium Rehab & Consulting Inc | Adp of the SNF | Jun 30, 2023 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Cattail BCG LLC | Adp of the SNF | Oct 1, 2024 | |
| Angela Frideres | Operational/Managerial Control | Oct 16, 2006 | |
| Adp of the SNF | Oct 24, 2025 | ||
| John Leider | Operational/Managerial Control | Jul 19, 2018 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Amanda Knecht | Operational/Managerial Control | Oct 10, 2007 | |
| Shawn Erickson-Welter | Adp of the SNF | May 31, 2018 | |
| Vicki Irvin | Operational/Managerial Control | Nov 1, 2014 | |
| Brighton Consulting Group LLC | Adp of the SNF | Oct 1, 2024 | |
| Adp of the SNF | May 25, 2015 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Millennium Therapy
- Physical Therapist
- Des Moines, IA
- NPI 1255385852
Adp of the SNF
-
dba Millennium Therapy
- Physical Therapist
- Independence, IA
- NPI 1336193986
Adp of the SNF
-
dba Millennium Therapy
- Physical Therapist
- Fort Dodge, IA
- NPI 1376597708
Adp of the SNF
-
- Family Medicine Physician
- Algona, IA
- NPI 1902219835
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Hiawatha Care Center
- Nursing Facility/Intermediate Care Facility
- Hiawatha, IA
- NPI 1285630541
Thomas F Juckette Marital Trust
-
dba Savannah Heights
- Nursing Facility/Intermediate Care Facility
- Mt Pleasant, IA
- NPI 1578633251
Capstone Management LLC, Thomas F Juckette Marital Trust
-
dba West Point Care Center
- Skilled Nursing Facility
- West Point, IA
- NPI 1346335379
Capstone Management LLC, Thomas F Juckette Marital Trust
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1922091131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E MCGREGOR ST",
"city": "ALGONA",
"state": "IA",
"postal_code": "505113006",
"telephone_number": "515-295-3505",
"fax_number": "515-295-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 E MCGREGOR ST",
"city": "ALGONA",
"state": "IA",
"postal_code": "505113006",
"telephone_number": "515-295-3505",
"fax_number": "515-295-5603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALGONA MANOR CARE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "JUCKETTE",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-223-6064"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "550274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0805002",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Algona Manor Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Algona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.