PHS WALNUT RIDGE LLC
NPI 1659920320
Skilled Nursing Facility in Clive, IA

Active since September 05, 2019CLIA Certified · 2 labs
3/5
Overall Rating
1703 CAMPUS DRIVE, CLIVE, IA 50325(651) 631-6450(651) 631-6122 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 11, 2025, Mar 26, 2020, Sep 5, 2019 (3 updates tracked since 2019).

About Phs Walnut Ridge Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHS WALNUT RIDGE LLC (NPI 1659920320), doing business as Phs Walnut Ridge Llc., is a healthcare organization registered as a skilled nursing facility in Clive, Iowa and active in the NPI registry since September 2019. The organization holds 2 active CLIA laboratory certificates and lists Mark T Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1659920320
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePHS WALNUT RIDGE LLC
Location Address1703 CAMPUS DRIVEClive, IA 50325
Mailing Address2845 Hamline Ave NRoseville, MN 55113-7127 · (651) 631-6432 · Fax (651) 631-6122
Fax(651) 631-6122
Organization SubpartNo
Authorized OfficialMark T MeyerCfo · (651) 631-6102
Enumeration DateSeptember 5, 2019
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1659920320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1703 CAMPUS DRIVE, Clive, IA 50325

Other Names 2

Doing Business AsPhs Walnut Ridge Llc.
Other NameWalnut Ridge

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2177022

Phs Walnut Ridge LLC · Clive, IA
Active · expires Jan 1, 2028
CLIA Number16D2177022
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorAllison N. Bass
Laboratory Phone(515) 457-1111
Laboratory LocationPhs Walnut Ridge LLC1703 Campus Drive, Clive, IA 50325
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2193701

Phs Walnut Ridge LLC Assisted Living · Clive, IA
Active · expires Sep 23, 2026
CLIA Number16D2193701
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorAllison N. Bass
Laboratory Phone(515) 457-1111
Laboratory LocationPhs Walnut Ridge LLC Assisted Living1701 Campus Drive, Clive, IA 50325
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Walnut Ridge (CMS certification number 165791), from CMS Care Compare.

Walnut Ridge

Nursing home · Clive, IA
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number165791
Certified Beds60 beds33 residents per day on average
Medicare & Medicaid Participant SinceSeptember 9, 2021
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
14.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
0
Infection-Control Citations
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phs Walnut Ridge LLC's NPI number?

The NPI number for Phs Walnut Ridge LLC is 1659920320. It was assigned to this organization in the NPPES registry on September 5, 2019. The provider is doing business as PHS Walnut Ridge LLC.. The provider is also known as Walnut Ridge.

Where is Phs Walnut Ridge LLC located?

Phs Walnut Ridge LLC is located at 1703 Campus Drive, Clive, IA 50325. The listed phone number is (651) 631-6450.

What is Phs Walnut Ridge LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Phs Walnut Ridge LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Phs Walnut Ridge LLC a Medicare-certified nursing home?

Yes. Walnut Ridge is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Phs Walnut Ridge LLC have?

CMS rates Walnut Ridge 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Phs Walnut Ridge LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Phs Walnut Ridge LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phs Walnut Ridge LLC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.