Bloomfield Ia Skilled Nursing Facility, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLOOMFIELD IA SKILLED NURSING FACILITY, LLC

Practice address

11 Deborah Dr
Bloomfield, IA 52537-1174

Phone

(641) 664-2523

NPI assigned

Nov 21, 2023

Last updated

Nov 21, 2023By 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

Chaim Rajchenbach

Title

Principal

Phone

(847) 745-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1396510129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DEBORAH DR",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DEBORAH DR",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371174",
            "telephone_number": "641-664-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD IA SKILLED NURSING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abcm Corporation (Mulberry Place)
• Olyvia Marie Bierschenk, M.A., CCC-SLP
• Nakila Blessing, ARNP
• Bloomfield Anesthetists
• Bloomfield Ia Skilled Nursing Facility LLC
• Dustin C Bozwell, CRNA/ARNP
• Jessica Leigh Brassfield
• Jay R Brewer, CRNA
• Sean D Brodale, DO
• Jessica Christen

• Assisted Living Facility in Bloomfield, IA
• Providers in Bloomfield, 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 Nov 21, 2023; 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.