Ottumwa Development

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

900432 Issued in IA

Legal business name

OTTUMWA DEVELOPMENT

Doing business as

Ottumwa Manor

Practice address

927 Pennsylvania Ave
Ottumwa, IA 52501-2138

Phone

(641) 684-4594

Fax

(641) 684-9519

NPI assigned

Sep 26, 2005

Last updated

Aug 22, 2020By 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

Ms. Helen J Broerman

Title

Administrator

Phone

(641) 684-4594

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ottumwa Manor Doing business as

Tax ID family

Ottumwa Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ottumwa Developments Inc

  dba Vista Woods Care Center

  • Skilled Nursing Facility
  • Ottumwa, IA
  • NPI 1114913977
  NPD tax ID

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144216995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012138",
            "telephone_number": "641-684-4594",
            "fax_number": "641-684-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012138",
            "telephone_number": "641-684-4594",
            "fax_number": "641-684-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROERMAN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-684-4594",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "900432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803056",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottumwa Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grady Orwig
• Osceola Vision Center P.C. (Ottumwa Eye Care)
• Ottumwa Anesthesiologists PC
• Ottumwa Chiropractic Clinic PC (Ottumwa Chiropractic Clinic)
• Ottumwa Community School District
• Ottumwa Developments Inc (Vista Woods Care Center)
• Ottumwa ER LLC
• Ottumwa ER LLC
• Ottumwa Express Clinic
• Ottumwa Health Group LLC

• Nursing Facility/Intermediate Care Facility in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.