Organization Active NPI

Henry County Soldiers' and Sailors' Memorial Hospital

Doing business as Henry County Health Center

  • Skilled Nursing Facility
  • Mt Pleasant, IA
National Provider Identifier
1982691002
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL
Doing business as
Park Place
Practice address
401 S Van Buren St
Mount Pleasant, IA 52641-2232
Phone
(319) 385-5350
NPI assigned
Oct 4, 2005
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HENRY COUNTY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Brandy Williams-Lowe
Title
Manager-Finance
Phone
(319) 385-6529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

401 S Van Buren St
Mount Pleasant, IA 52641-2232

Mailing address

407 S White St
Mt Pleasant, IA 52641-2263
Phone (319) 385-3141

Other practice location 1

407 S White St
Mt Pleasant, IA 52641-2263
Phone (319) 385-3141

Other identifiers 2

IdentifierTypeStateIssuer
0801829MedicaidIA
65147OtherIAWELLMARK BC OF IA

Other names 2

  • Henry County Health Center Other name
  • Park Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519003487 IA Part A Provider - Skilled Nursing Facility 7911893169 Practice locations: Mount Pleasant, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982691002. Details of each certification follow.

Skilled nursing facility certification: CCN 165147

Legal name
HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL
Doing business as
PARK PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 16, 1989
Last certification
May 22, 2025
Beds
49
Ownership / control type
Nonprofit Corporation
Organization structure
GovernmentNon-profit
Enrollment address
401 S Van Buren St
Mount Pleasant, IA 52641-2232
Nursing home name
PARK PLACE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Park PlaceCCN 165147 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 16, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4933.8 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
16D2189020Park Place Elder Living401 S Van Buren, Mount Pleasant, IA 52641Certificate of waiverJul 23, 2026

National Provider Directory

National Provider Directory
Part of
Henry Co Health Centerd

Locations

401 S Van Buren St
Mt Pleasant, IA 52641
Phone (319) 385-5350

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Robert Engberg Individual Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025
Michael J McCoy Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Mickie Hollenbeck Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
William Malcom Individual Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025
Cynthia Cotton Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Deanna a Barr Individual Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025
Rebecca Bender Individual Managing Control - Governing BodyTrustee Jan 1, 2025
Braden Blake Individual Managing Control - Governing BodyTrustee Jan 1, 2025
Mary Elise Klopfenstein Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Tara Pope Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Karla Maher Individual Managing Control - Governing BodyTrustee Jan 1, 2025
Michael Welcher Individual Managing Control - Governing BodyTrustee Jan 1, 2025
Douglas Martin Individual Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025
Charles Yoder Individual Managing Control - Governing BodyTrustee Jun 18, 2025
John P McKillip Individual Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025
Eide Bailly LLP Organization, Fargo, ND Consulting firm, For-profit Adp of the SNF Jan 1, 2025
Carla McNamee Individual Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyTrustee Jan 1, 2025
Adp of the SNF Jan 1, 2025
Joel D Prottsman Individual Managing Control - Governing BodyTrustee Jan 1, 2025
Joel Ryon Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Great River Health System Inc Organization, West Burlington, IA Corporation, Management services company, Non-profit Operational/Managerial Control Jan 15, 2025
Adp of the SNF Jan 15, 2025
Brandy Williams-Lowe Individual Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyManager of Finance Jan 1, 2025
Adp of the SNF Jan 1, 2025
Aramark Healthcare Support Services LLC Organization, Philadelphia, PA LLC, For-profit Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 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 12

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

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 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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1982691002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S WHITE ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412263",
            "telephone_number": "319-385-3141",
            "fax_number": "319-385-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BUREN ST",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412232",
            "telephone_number": "319-385-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 S White St",
            "address_purpose": "LOCATION",
            "city": "Mt Pleasant",
            "state": "IA",
            "postal_code": "526412263",
            "country_code": "US",
            "telephone_number": "319-385-3141",
            "fax_number": "319-385-6571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY COUNTY HEALTH CENTER",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-LOWE",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "MANAGER-FINANCE",
        "authorized_official_telephone_number": "319-385-6529"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801829",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC OF IA",
            "identifier": "65147",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry County Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry County Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Pleasant, IA

Sources for this page

Verify at the official NPI Registry.