Organization Active NPI

Pleasant Care Partners LLP

  • Skilled Nursing Facility
  • Iowa City, IA
National Provider Identifier
1205907748
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
520101 Issued in IA
Legal business name
PLEASANT CARE PARTNERS LLP
Doing business as
Greenwood Manor
Practice address
605 Greenwood Dr
Iowa City, IA 52246-2121
Phone
(319) 325-3316
Fax
(319) 351-9225
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Jerry Nicholls
Title
Owner
Phone
(319) 338-7912

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 520101 IA Primary
Respite Care 385H00000X 520101 IA

Addresses

Primary practice location

605 Greenwood Dr
Iowa City, IA 52246-2121

Mailing address

605 Greenwood Dr
Iowa City, IA 52246-2121
Phone (319) 338-7912

Other identifiers 3

IdentifierTypeStateIssuer
0804526MedicaidIA
0449355MedicaidIA
65172OtherIABCBS PROVIDER #

Other names 1

  • Greenwood Manor 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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1205907748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GREENWOOD DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462121",
            "telephone_number": "319-338-7912",
            "fax_number": "319-351-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GREENWOOD DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462121",
            "telephone_number": "319-325-3316",
            "fax_number": "319-351-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT CARE PARTNERS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "NICHOLLS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-338-7912"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "520101",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "IA",
            "license": "520101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804526",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449355",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "65172",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

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