Elk Manor Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N025001 Issued in KS

Legal business name

ELK MANOR NURSING, LLC

Doing business as

Elk Manor Skilled Nursing by Americare

Practice address

304 Walnut
Moline, KS 67353-9021

Phone

(620) 647-3235

Fax

(620) 647-3452

NPI assigned

Jul 13, 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

Mr. James Reiker

Title

Treasurer

Phone

(573) 471-1113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elk Manor Skilled Nursing by Americare Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• R H Montgomery Properties, Inc

  dba The Neighborhoods at Quail Creek

  • Skilled Nursing Facility
  • Springfield, MO
  • NPI 1730292863

  Member Of

  NPD member

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225036247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WALNUT",
            "city": "MOLINE",
            "state": "KS",
            "postal_code": "673539021",
            "telephone_number": "620-647-3235",
            "fax_number": "620-647-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WALNUT",
            "city": "MOLINE",
            "state": "KS",
            "postal_code": "673539021",
            "telephone_number": "620-647-3235",
            "fax_number": "620-647-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK MANOR NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "573-471-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N025001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042547401",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Manor Skilled Nursing by Americare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Newton Memorial Hospital (Moline Community Rural Health Clinic)
• Eve Buettell Williams, APRN

• Skilled Nursing Facility in Moline, KS
• Providers in Moline, KS by specialty
• Skilled Nursing Facility in Kansas

• 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.