PCNR, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PCNR, LLC

Practice address

6120 Morningside Ave
Sioux City, IA 51106-3943

Phone

(712) 276-3000

NPI assigned

Apr 4, 2014

Organization subpart

No

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

Authorized official

Name

Benjamin Klein

Title

Manager

Phone

(847) 329-4100

Specialties & licenses 1

Addresses

Other names 1

• Countryside Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1245658483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LONG AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773214",
            "telephone_number": "847-329-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 MORNINGSIDE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511063943",
            "telephone_number": "712-276-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCNR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-329-4100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Paugh, PA-C
• Kristina Pauley
• Jaclyn Joann Paulson, LMHC
• David Gerhardt Paulsrud, MD
• Amy Jo Payne, MPAS, PA-C
• PCNR, LLC
• Jon A Peacock, M.D.
• Pech Optical Corp
• Keyona Marie Peck
• Kierra Pedersen

• Skilled Nursing Facility in Sioux City, IA
• Providers in Sioux City, 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 Sep 22, 2014; 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.