Organization Active NPI

Abcm Corporation

Doing business as Bloomfield Care Center

  • Skilled Nursing Facility
  • Bloomfield, IA
National Provider Identifier
1174525760
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
260208 Issued in IA
Legal business name
ABCM CORPORATION
Doing business as
Bloomfield Care Center
Practice address
800 N Davis St
Bloomfield, IA 52537-1107
Phone
(641) 664-2699
Fax
(641) 664-2929
NPI assigned
Aug 12, 2005
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Timothy Roberts
Title
Cfo
Phone
(641) 456-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 260208 IA Primary

Addresses

Primary practice location

800 N Davis St
Bloomfield, IA 52537-1107

Mailing address

1320 4TH St NE
Hampton, IA 50441-1104
Phone (641) 456-5636

Other identifiers 3

IdentifierTypeStateIssuer
0804716MedicaidIA
65326OtherIAWELLMARK
0471243MedicaidIA

Other names 1

  • Bloomfield Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1174525760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 4TH ST NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411104",
            "telephone_number": "641-456-5636",
            "fax_number": "641-456-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N DAVIS ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371107",
            "telephone_number": "641-664-2699",
            "fax_number": "641-664-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABCM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-456-5636"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "260208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804716",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "65326",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471243",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.