Marjan Management Services LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

720 Issued in IA

Legal business name

MARJAN MANAGEMENT SERVICES LTD

Practice address

6420 Council St NE
Cedar Rapids, IA 52402-1129

Phone

(319) 393-1447

Fax

(319) 378-9533

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mark Dwight Tague, NHA

Title

Owner Pres Administrator

Phone

(319) 393-1447

Specialties & licenses 2

Addresses

Other names 1

• Northbrook Manor Care Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1023005105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 COUNCIL ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021129",
            "telephone_number": "319-393-1447",
            "fax_number": "319-378-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 COUNCIL ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021129",
            "telephone_number": "319-393-1447",
            "fax_number": "319-378-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJAN MANAGEMENT SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "TAGUE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER PRES ADMINISTRATOR",
        "authorized_official_telephone_number": "319-393-1447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "720",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northbrook Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Richard P Marchiori, DC
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• Alisha Markel, LPN
• Blaney Ann Markman
• Maureen Marks, M.D.
• Jana L Marlett, MD

• Skilled Nursing Facility in Cedar Rapids, IA
• Providers in Cedar Rapids, 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 Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.