Organization Active NPI

Opco Wellman, Ia, LLC

Doing business as Parkview Manor

  • Skilled Nursing Facility
  • Wellman, IA
National Provider Identifier
1942092028
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OPCO WELLMAN, IA, LLC
Doing business as
Parkview Manor
Practice address
516 13TH St
Wellman, IA 52356-9232
Phone
(319) 646-2911
NPI assigned
May 22, 2025
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Isaac Dole
Title
Manager
Phone
(872) 282-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

516 13TH St
Wellman, IA 52356-9232

Mailing address

2045 W Grand Ave Ste B-34572
Chicago, IL 60612-1576
Phone (872) 282-8001

Other names 1

  • Parkview Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260129001012 IA Part A Provider - Skilled Nursing Facility 7618455973

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942092028. Details of each certification follow.

Skilled nursing facility certification: CCN 165234

Legal name
OPCO WELLMAN IA LLC
Doing business as
PARKVIEW MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1994
Last certification
Aug 8, 2024
Beds
62
Ownership / control type
Corporation
Multi-facility organization
MGM Health care
Organization structure
LLCProprietary
Enrollment address
516 13TH St
Wellman, IA 52356-9232
Nursing home name
PARKVIEW MANOR
Affiliated entity
CAMPBELL STREET SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkview ManorCCN 165234 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6250.7 residents per day on average
Chain
Campbell Street Services22 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $93,473

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Opco Wellman Ia LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Holdco, Ia 5, LLC Organization, Chicago, IL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 3, 2025 100%
Operational/Managerial Control Nov 3, 2025
Adp of the SNF Nov 5, 2025
Brenda S Satterfield Individual Operational/Managerial Control Nov 3, 2025
Adp of the SNF Nov 3, 2025
Isaac S Dole Individual 5% Or Greater Indirect Ownership InterestManager Nov 3, 2025 100%
Operational/Managerial Control Nov 3, 2025
Managing Control - Governing BodyManager Nov 3, 2025
Adp of the SNF Nov 3, 2025
George David Nacos Individual Operational/Managerial Control Nov 3, 2025
Adp of the SNF Nov 3, 2025
Individual Adp of the SNF Nov 3, 2025
Individual Adp of the SNF Nov 3, 2025
Kayleen Martin Individual Operational/Managerial Control Nov 3, 2025
Adp of the SNF Nov 3, 2025
Individual Adp of the SNF Nov 3, 2025
Individual Adp of the SNF Nov 3, 2025
Rebecca Pacha Individual Operational/Managerial Control Nov 3, 2025
Adp of the SNF Nov 3, 2025
Wellman Property, LLC Organization, Evanston, IL LLC, For-profit Adp of the SNF Nov 3, 2025
Cyclone Holdco LLC Organization, Evanston, IL LLC, For-profit Adp of the SNF Nov 3, 2025
Birchwood Healthcare Partners LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 3, 2025 100%
Operational/Managerial Control Nov 3, 2025
Campbell Street Services LLC Organization, Chicago, IL LLC, Management services company, For-profit Operational/Managerial Control Nov 3, 2025
Adp of the SNF Nov 5, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 21

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

View all 21

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1942092028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B-34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "872-282-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 13TH ST",
            "city": "WELLMAN",
            "state": "IA",
            "postal_code": "523569232",
            "telephone_number": "319-646-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCO WELLMAN, IA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "872-282-8001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellman, IA

Sources for this page

Verify at the official NPI Registry.