Colonial Manors of Oakland, Iowa, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

780147 Issued in IA

Legal business name

COLONIAL MANORS OF OAKLAND, IOWA, INC.

Doing business as

Oakland Manor

Practice address

737 North Hiway
Oakland, IA 51560-0459

Phone

(712) 482-6403

Fax

(712) 482-6879

NPI assigned

Jul 1, 2006

Last updated

Dec 14, 2010By 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. Charles Alan Pleak, CNHA

Title

Administrator

Phone

(712) 482-6403

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oakland Manor Doing business as

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1316976491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "OAKLAND",
            "state": "IA",
            "postal_code": "515600459",
            "telephone_number": "712-482-6403",
            "fax_number": "712-482-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 NORTH HIWAY",
            "city": "OAKLAND",
            "state": "IA",
            "postal_code": "515600459",
            "telephone_number": "712-482-6403",
            "fax_number": "712-482-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MANORS OF OAKLAND, IOWA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "PLEAK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-482-6403",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "780147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802967",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa (CHI Health Clinic Oakland)
• Anew Healthcare Operations - Oakland Manor, LLC
• Constance L Bridges, ARNP
• City of Oakland (Oakland Vol. Fire & Rescue)
• Terri S Clark
• Kristin K Fox, RPH
• Suzanne Marie Johns, COTA
• Janice Lawrence, PAC
• Timothy J. Lenaghan
• John Llamoso, MD

• Nursing Facility/Intermediate Care Facility in Oakland, IA
• Providers in Oakland, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.