Char-Mac of Manning

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0356 Issued in IA

Legal business name

CHAR-MAC OF MANNING

Practice address

203 11TH St
Manning, IA 51455-1508

Phone

(712) 655-4893

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Jeanine K Chartier, OTR/L

Title

Owner

Phone

(712) 944-4893

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1366890865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E CHAR MAC DR",
            "city": "LAWTON",
            "state": "IA",
            "postal_code": "510308171",
            "telephone_number": "712-944-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 11TH ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551508",
            "telephone_number": "712-655-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAR-MAC OF MANNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "CHARTIER",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-944-4893",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blum Physical Therapy Inc
• Jamie Jo Blum, PT, DPT
• Emmalee Esther Bolin, LMSW, IADC
• Brittany Janae Bremser, ARNP
• Damon Allen Bromley, TCADC
• Daren Danielson, TCADC
• Nancy L Danner, P.A.-C.
• Jaime Ann England, PT
• Melissa Frazier, ARNP
• Nathanael Keith Fuller, PA

• Assisted Living Facility in Manning, IA
• Providers in Manning, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.