Active NPI
Nelson Manor Inc
- Skilled Nursing Facility
- Newton, IA
National Provider Identifier
1124199336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N-635
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808493 | Medicaid | IA |
Other names 1
- Nelson Manor Nursing Home
National Provider Directory
National Provider DirectoryLocations
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.