Organization Active NPI

Mayflower Homes, Inc.

Doing business as Mayflower Home Inc.

  • Skilled Nursing Facility
  • Grinnell, IA
National Provider Identifier
1972598498
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0277 Issued in IA
Legal business name
MAYFLOWER HOMES, INC.
Doing business as
Mayflower Home Inc.
Practice address
616 Broad St
Grinnell, IA 50112-2298
Phone
(641) 236-6151
Fax
(641) 236-6154
NPI assigned
Sep 12, 2005
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Mr. Edward R. Poush
Title
Administrator
Phone
(641) 236-6151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0277 IA
Skilled Nursing Facility 314000000X 0277 IA Primary

Addresses

Primary practice location

616 Broad St
Grinnell, IA 50112-2298

Mailing address

616 Broad St
Grinnell, IA 50112-2298
Phone (641) 236-6151

Other identifiers 1

IdentifierTypeStateIssuer
0802303MedicaidIA

Other names 1

  • Mayflower Home Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020930000011 IA Part A Provider - Skilled Nursing Facility 1658288329 Practice locations: Grinnell, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972598498. Details of each certification follow.

Skilled nursing facility certification: CCN 165481

Legal name
MAYFLOWER HOMES INC
Doing business as
MAYFLOWER HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2003
Last certification
May 29, 2025
Beds
40
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Enrollment address
616 Broad St
Grinnell, IA 50112-2298
Nursing home name
MAYFLOWER HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mayflower HomeCCN 165481 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4028.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0382745Mayflower Home616 Broad Street, Grinnell, IA 50112Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mayflower Homes Inc2 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.

Ownership & related parties

All disclosed owners & managing parties 74

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

NameRoleSinceShare
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Mar 1, 2021
Thomas S Moffatt Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Apr 1, 2021
NCS Healthcare of Iowa, LLC Organization, Urbandale, IA LLC Adp of the SNF Mar 1, 2021
Scott Gruhn Individual Operational/Managerial Control Jul 14, 2000
Adp of the SNF Jul 18, 2018
Mayflower Homes Inc Organization, Grinnell, IA Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 1993 100%
Operational/Managerial Control Apr 1, 1993 100%
Adp of the SNF Apr 1, 1993
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Vicki Wieck Individual Operational/Managerial Control Apr 15, 2024
RSM US LLP Organization, Des Moines, IA LLC Adp of the SNF Mar 1, 2021
James Ramsey Individual Corporate OfficerPresident Oct 13, 2020
Corporate DirectorBoard President Oct 8, 2020
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Leslie Jaworski Individual Operational/Managerial Control Aug 1, 2020
Kellie McGriff Individual Corporate OfficerExecutive Director Jul 18, 2018
Operational/Managerial Control Jul 18, 2018
Adp of the SNF Jul 18, 2018
Brian J Heineman Individual Operational/Managerial Control May 6, 2019
Adp of the SNF Jul 18, 2018
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Jessica Dillon Individual Corporate OfficerSecretary Oct 13, 2020
Corporate DirectorBoard Secretary Oct 8, 2020
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Oct 1, 2024
John Mutti Individual Corporate OfficerTreasurer Oct 8, 2022
Corporate DirectorBoard Treasurer Oct 8, 2020
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Jan 1, 2016
Individual Adp of the SNF Mar 1, 2021
Cattail Inc Organization, Muscatine, IA Corporation Adp of the SNF Oct 1, 2024
BCG Holdings Inc Organization, Waukee, IA Corporation Adp of the SNF Oct 1, 2024
Iowa Health Care Association Organization, West Des Moines, IA Corporation Adp of the SNF Oct 1, 2024
Anneliese Wiltfang Individual Operational/Managerial Control Dec 6, 2024
Individual Adp of the SNF Mar 1, 2021
Jacob Staroska Individual Operational/Managerial Control Dec 7, 2020
Patrick Mahaffey Individual Corporate DirectorBoard Member Oct 8, 2024
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Oct 1, 2024
Meredith Crow Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Ecsi Inc Organization, West Des Moines, IA Corporation Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Lisa Jepsen Individual Corporate OfficerVice President Jul 26, 2022
Corporate DirectorBoard Vice-President Oct 8, 2020
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Paige L Carlson Individual Corporate DirectorBoard Member Oct 13, 2020
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Pamela S Vosburg Individual Corporate Officer Dec 7, 2009
Adp of the SNF Dec 9, 2009
Peter Marsho Individual Corporate DirectorBoard Member Oct 8, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Ryun, Givens & Company, P.C. Organization, Urbandale, IA Corporation Adp of the SNF Apr 1, 2021
Cattail BCG LLC Organization, Muscatine, IA LLC Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Mar 1, 2021
Individual Adp of the SNF Mar 1, 2021
Diane Fairchild Individual Corporate DirectorBoard Member Oct 8, 2024
Key Rehabilitation Inc Organization, Murfreesboro, TN Corporation, Consulting firm Adp of the SNF Oct 1, 2021
Individual Adp of the SNF Mar 1, 2021
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1972598498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122298",
            "telephone_number": "641-236-6151",
            "fax_number": "641-236-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122298",
            "telephone_number": "641-236-6151",
            "fax_number": "641-236-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "POUSH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-236-6151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "0277",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802303",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayflower Home Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.