Nelson Nursing Home Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

510212 Issued in IA

Legal business name

NELSON NURSING HOME CORP

Doing business as

Nelson Nursing Home

Practice address

807-809 West Taylor
Fairfield, IA 52556

Phone

(641) 472-6126

Fax

(641) 472-6126

NPI assigned

Oct 30, 2006

Organization subpart

No

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

Authorized official

Name

Ken Nelson

Title

Owner

Phone

(641) 472-6126

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Nelson Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1316023674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807-809 WEST TAYLOR",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "52556",
            "telephone_number": "641-472-6126",
            "fax_number": "641-472-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807-809 WEST TAYLOR",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "52556",
            "telephone_number": "641-472-6126",
            "fax_number": "641-472-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON NURSING HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-472-6126"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "510212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802793",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "65526",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Fairfield, IA
• Providers in Fairfield, 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 17, 2008; 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.