Organization Active NPI

Nelson Manor Inc

  • Skilled Nursing Facility
  • Newton, IA
National Provider Identifier
1124199336
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N-635 Issued in IA
Legal business name
NELSON MANOR INC
Practice address
1500 1St Ave E
Newton, IA 50208-4043
Phone
(641) 792-1443
Fax
(641) 791-1667
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Gena T Franklin
Title
President
Phone
(641) 792-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N-635 IA Primary

Addresses

Primary practice location

1500 1St Ave E
Newton, IA 50208-4043

Mailing address

1500 1St Ave E
Newton, IA 50208-4043
Phone (641) 792-1443

Other identifiers 1

IdentifierTypeStateIssuer
0808493MedicaidIA

Other names 1

  • Nelson Manor Nursing Home Doing business as

National Provider Directory

National Provider Directory

Locations

1500 1st Ave E
Newton, IA 50208
Phone (641) 792-1443

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1124199336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502084043",
            "telephone_number": "641-792-1443",
            "fax_number": "641-791-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502084043",
            "telephone_number": "641-792-1443",
            "fax_number": "641-791-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "GENA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-792-1443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0808493",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.