Active NPI
Henry County Soldiers' and Sailors' Memorial Hospital
Doing business as Henry County Health Center
- Skilled Nursing Facility
- Mt Pleasant, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- HENRY COUNTY HEALTH CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801829 | Medicaid | IA | |
| 65147 | Other | IA | WELLMARK BC OF IA |
Other names 2
- Henry County Health Center
- Park Place
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Government
- 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).
-
dba Henry County EMS
- Land Ambulance
- Mt Pleasant, IA
- NPI 1770640708
7911893169
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Park Place
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 16, 1989
- Medicare certification status
- Active
- Certified beds
- 49
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 |
|---|---|---|---|
| 16D2189020 | Park Place Elder Living | Certificate of waiver | Jul 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Engberg | Operational/Managerial Control | Jan 23, 2025 | |
| Adp of the SNF | Jan 23, 2025 | ||
| Michael J McCoy | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Mickie Hollenbeck | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| William Malcom | Operational/Managerial Control | Jan 23, 2025 | |
| Adp of the SNF | Jan 23, 2025 | ||
| Cynthia Cotton | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Deanna a Barr | Operational/Managerial Control | Jan 23, 2025 | |
| Adp of the SNF | Jan 23, 2025 | ||
| Rebecca Bender | Managing Control - Governing Body | Jan 1, 2025 | |
| Braden Blake | Managing Control - Governing Body | Jan 1, 2025 | |
| Mary Elise Klopfenstein | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Tara Pope | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Karla Maher | Managing Control - Governing Body | Jan 1, 2025 | |
| Michael Welcher | Managing Control - Governing Body | Jan 1, 2025 | |
| Douglas Martin | Operational/Managerial Control | Jan 23, 2025 | |
| Adp of the SNF | Jan 23, 2025 | ||
| Charles Yoder | Managing Control - Governing Body | Jun 18, 2025 | |
| John P McKillip | Operational/Managerial Control | Jan 23, 2025 | |
| Adp of the SNF | Jan 23, 2025 | ||
| Eide Bailly LLP | Adp of the SNF | Jan 1, 2025 | |
| Carla McNamee | Operational/Managerial Control | Jan 1, 2025 | |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Joel D Prottsman | Managing Control - Governing Body | Jan 1, 2025 | |
| Joel Ryon | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Great River Health System Inc | Operational/Managerial Control | Jan 15, 2025 | |
| Adp of the SNF | Jan 15, 2025 | ||
| Brandy Williams-Lowe | Operational/Managerial Control | Jan 1, 2025 | |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Aramark Healthcare Support Services LLC | 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.
-
- Family Medicine Physician
- Mt Pleasant, IA
- NPI 1063523728
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 12
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Medicare Defined Swing Bed Hospital Unit
- Mt Pleasant, IA
- NPI 1346824943
Great River Health System Inc
-
dba Henry County Health Center-Wapello Clinic
- Rural Health Clinic/Center
- Wapello, IA
- NPI 1376230326
Great River Health System Inc
-
dba Henry County Health Center - New London Clinic
- Rural Health Clinic/Center
- New London, IA
- NPI 1497339006
Great River Health System Inc
-
dba Henry County Health Center - Winfield Clinic
- Rural Health Clinic/Center
- Winfield, IA
- NPI 1720662331
Great River Health System Inc
-
dba Henry County Health Center-Keokuk Clinic
- Rural Health Clinic/Center
- Keokuk, IA
- NPI 1750157467
Great River Health System Inc
-
dba Henry County Health Center - Mt. Pleasant Clinic
- Rural Health Clinic/Center
- Mt Pleasant, IA
- NPI 1770167389
Great River Health System Inc
-
- Critical Access Hospital
- Mt Pleasant, IA
- NPI 1811571417
Great River Health System Inc
-
dba Great River Home Health and Hospice
- Community Based Hospice Care Agency
- West Burlington, IA
- NPI 1053315002
Great River Health System Inc
-
dba Southeast Iowa Regional Medical Center
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
Great River Health System Inc
-
dba Great River Klein Center
- Skilled Nursing Facility
- West Burlington, IA
- NPI 1265411144
Aramark Healthcare Support Services LLC, Great River Health System Inc
-
dba Great River Home Health and Hospice
- Home Health Agency
- West Burlington, IA
- NPI 1760461644
Great River Health System Inc
-
dba Lake Taylor Transitional Care Hospital
- Skilled Nursing Facility
- Norfolk, VA
- NPI 1336101039
Aramark Healthcare Support Services LLC
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.
-
- Internal Medicine Physician
- Mt Pleasant, IA
- NPI 1730175803
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
- Henry County Soldiers' and Sailors' Memorial Hospital (Henry County Health Center)
- Henry County Soldiers' and Sailors' Memorial Hospital (Henry County Health Center)
- Henry County Soldiers' and Sailors' Memorial Hospital
- Henry County Soldiers' and Sailors' Memorial Hospital
- Henry County Soldiers' and Sailors' Memorial Hospital (Henry County EMS)
- Heritage Park Pharmacy Inc (Heritage Pharmacy - Mount Pleasant)
- James Hetherington, CRNA
- Hillcrest Family Services
- Chenh Tac Ho
- Matthew John Hoffman, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.