Micor Enterprises Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-803 Issued in IA

Legal business name

MICOR ENTERPRISES INC

Doing business as

Villa del Sol Health Center

Practice address

2401 S 2ND St
Marshalltown, IA 50158-4402

Phone

(641) 752-1553

Fax

(641) 728-2429

NPI assigned

Aug 28, 2006

Last updated

Sep 15, 2008By 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

Eddie Schlueter

Title

Officer

Phone

(641) 752-1553

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VILLA DEL SOL HEALTH CENTER Doing business as

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1053429225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 2ND ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584402",
            "telephone_number": "641-752-1553",
            "fax_number": "641-728-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 2ND ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584402",
            "telephone_number": "641-752-1553",
            "fax_number": "641-728-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICOR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SCHLUETER",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "641-752-1553"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0807305",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLA DEL SOL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Marshalltown, IA
• Providers in Marshalltown, 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 Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.