Colonial Manors of Columbus Community Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

580135 Issued in IA

Legal business name

COLONIAL MANORS OF COLUMBUS COMMUNITY INC

Doing business as

Colonial Manors of Columbus Community

Practice address

814 Springer Ave
Columbus Junction, IA 52738-1305

Phone

(319) 728-2276

Fax

(319) 728-8998

NPI assigned

Nov 21, 2006

Last updated

Aug 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven A Sents

Title

President

Phone

(319) 728-2276

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Colonial Manors of Columbus Community Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982779724. Details of each certification follow.

• CCN 165476 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165476

Legal name

COLONIAL MANORS OF COLUMBUS COMMUNITY INC

Doing business as

COLONIAL MANOR OF COLUMBUS COMMUNITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 2003

Last certification

Aug 15, 2024

Beds

42 (39 certified)

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

814 Springer Ave
Columbus Junction, IA 52738-1305

Nursing home name

COLONIAL MANORS OF COLUMBUS COMMUNITY

Listed as

Colonial Manors of Columbus CommunityCCN 165476 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3930.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Colonial Manor2 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.

• Colonial Manor of Columbus Community

  • Nursing Facility/Intermediate Care Facility
  • Columbus Junction, IA
  • NPI 1174519672
  NPD tax ID

All disclosed owners & managing parties 38

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

Owners & managing parties with NPI records 6

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

• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Des Moines, IA
  • NPI 1255385852

  Adp of the SNF

  CMS ownership
• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Independence, IA
  • NPI 1336193986

  Adp of the SNF

  CMS ownership
• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Fort Dodge, IA
  • NPI 1376597708

  Adp of the SNF

  CMS ownership
• George David Nacos, M.D.

  • Family Medicine Physician
  • Washington, IA
  • NPI 1235159716

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• William Burke LTD

  dba Main at Locust Pharmacy

  • Community/Retail Pharmacy
  • Davenport, IA
  • NPI 1184781940

  Adp of the SNF

  CMS ownership
• William Burke LTD

  dba Main at Locust Pharmacy and Clinic

  • Clinic Pharmacy
  • Davenport, IA
  • NPI 1851620066

  Adp of the SNF

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• George David Nacos, M.D.

  • Family Medicine Physician
  • Washington, IA
  • NPI 1235159716

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1982779724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SPRINGER AVE",
            "city": "COLUMBUS JUNCTION",
            "state": "IA",
            "postal_code": "527381305",
            "telephone_number": "319-728-2276",
            "fax_number": "319-728-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SPRINGER AVE",
            "city": "COLUMBUS JUNCTION",
            "state": "IA",
            "postal_code": "527381305",
            "telephone_number": "319-728-2276",
            "fax_number": "319-728-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MANORS OF COLUMBUS COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "SENTS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-728-2276"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "580135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "65476",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809061",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Manors of Columbus Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colonial Manors of Columbus Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colonial Manor of Columbus Community
• Columbus Community Schools
• Community Health Centers of Southeastern Iowa, Inc
• Gary P Englert, D.C.
• Thomas Richard Gantenbein
• Hy-Vee Inc (Hy-Vee Drugstore Clinic (7060))

• Skilled Nursing Facility in Columbus Junction, IA
• Providers in Columbus Junction, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.

Verify at the official NPI Registry.