Signature Properties of Estherville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

320446 Issued in IA

Legal business name

SIGNATURE PROPERTIES OF ESTHERVILLE, LLC

Practice address

2001 1St Ave. North
Estherville, IA 51334

Phone

(712) 362-3594

Fax

(712) 362-8013

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce H. Mehlhop, MA

Title

Managing Member

Phone

(515) 727-1770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rosewood Manor 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": "1326758400000",
    "number": "1194707331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 1ST AVE. NORTH",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "51334",
            "telephone_number": "712-362-3594",
            "fax_number": "712-362-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 1ST AVE. NORTH",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "51334",
            "telephone_number": "712-362-3594",
            "fax_number": "712-362-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE PROPERTIES OF ESTHERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "MEHLHOP",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "515-727-1770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "320446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809723",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosewood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Alan Robinson
• Sander Chiropractic
• Gregory Alan Sander, D.C.
• Cathi Rae Scharnberg, ARNP
• Kelsey Shatto, PT, DPT
• Denver Jocylen Splinter, CNP
• Andrew Lon Spurgin, PHARMD
• Douglas V. Stangl, M.D.
• Lorraine Marie Tangen, MD
• The Evangelical Lutheran Good Samaritan Society

• Skilled Nursing Facility in Estherville, IA
• Providers in Estherville, 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 Jan 17, 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.