Manor Care of West Des Moines Ia, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MANOR CARE OF WEST DES MOINES IA, LLC

Doing business as

ManorCare Health Services - West Des Moines
ProMedica Skilled Nursing and Rehabilitation (West Des Moines)

Practice address

5010 Grand Ridge Dr
West Des Moines, IA 50265-5754

Phone

(515) 222-5991

Fax

(515) 440-2844

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Lazarus

Title

Vice President

Phone

(419) 252-5540

Specialties & licenses 1

Addresses

Other names 2

• ManorCare Health Services - West Des Moines Doing business as
• ProMedica Skilled Nursing and Rehabilitation (West Des Moines) Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1265751275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN BARRY LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5540",
            "fax_number": "419-254-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 GRAND RIDGE DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655754",
            "telephone_number": "515-222-5991",
            "fax_number": "515-440-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF WEST DES MOINES IA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-252-5540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N St 6th #900a",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services - West Des Moines",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ManorCare Health Services - West Des Moines",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Skilled Nursing and Rehabilitation (West Des Moines)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Manirambona
• Rori Mankins, M.D.
• Madison Marie Mannel, CCC-A
• Justin Manning
• Manor Care of West Des Moines Ia LLC (ManorCare Health Services - West Des Moines)
• Teagan Danielle Manus
• Daniella Marconi, LMSW
• Richard H Marcus, M.D.
• Sheila Marean, ARNP
• Claire Elizabeth Marienau

• Skilled Nursing Facility in West Des Moines, IA
• Providers in West Des Moines, 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 11, 2022; 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.