Shenandoah Enterprises LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SHENANDOAH ENTERPRISES LLC

Doing business as

Fair Oaks Care Center

Practice address

1201 S Walnut St
Shenandoah, IA 51601-2176

Phone

(712) 246-2055

Fax

(712) 246-2099

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By 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. Joseph P Dewitt

Title

Cfo

Phone

(605) 217-6000

Specialties & licenses 1

Addresses

Other names 1

• FAIR OAKS CARE CENTER Doing business as

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1346434826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S WALNUT ST",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012176",
            "telephone_number": "712-246-2055",
            "fax_number": "712-246-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S WALNUT ST",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012176",
            "telephone_number": "712-246-2055",
            "fax_number": "712-246-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-217-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIR OAKS CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David W. Shane, L.C.S.W. (ILLINOIS)
• Shenandoah Ambulance Service
• Shenandoah Care Center, LLC (Garden View Care Center)
• Shenandoah Community School District
• Shenandoah Doctors Clinic
• Shenandoah Family Dentistry, P.C.
• Shenandoah Iowa Assiste Living Facility LLC (Windsor Manor Shenandoah)
• Shenandoah Medical Center (SMC Home Health and Hospice)
• Shenandoah Medical Center
• Shenandoah Medical Center

• Nursing Facility/Intermediate Care Facility in Shenandoah, IA
• Providers in Shenandoah, 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 Aug 28, 2007; 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.