Signature Properties of Primghar LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

710178 Issued in IA

Legal business name

SIGNATURE PROPERTIES OF PRIMGHAR LLC

Doing business as

Primghar Rehabilitation and Care Center

Practice address

735 N Rerick Ave
Primghar, IA 51245-1052

Phone

(712) 957-3655

Fax

(712) 957-8501

NPI assigned

Nov 15, 2005

Last updated

Feb 8, 2012By 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

Mr. Bruce Mehlhop

Title

Managing Member

Phone

(515) 727-1768

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Primghar Rehabilitation and Care Center Doing business as

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1194707323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD CT",
            "address_2": "SUITE A, PO BOX 917",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501310917",
            "telephone_number": "515-727-1770",
            "fax_number": "515-757-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N RERICK AVE",
            "city": "PRIMGHAR",
            "state": "IA",
            "postal_code": "512451052",
            "telephone_number": "712-957-3655",
            "fax_number": "712-957-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE PROPERTIES OF PRIMGHAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "MEHLHOP",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "515-727-1768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "710178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804641",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primghar Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pearl Valley Rehabilitation and Nursing at Primghar, LLC
• Kelly Scott Pomerenke, M.D.
• Primghar (Primghar Ambulance Team)
• Primghar Chiropractic Center Inc
• Primghar SNF Operator LLC
• Sioux Valley Memorial Hospital Association (Cherokee Regional Medical Center)
• Jennifer Marie Stubbe, DMD
• Becky J Wittrock, PA

• Skilled Nursing Facility in Primghar, IA
• Providers in Primghar, 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 Feb 8, 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.