Manor Care of Minot ND LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1041A Issued in ND

Legal business name

MANOR CARE OF MINOT ND LLC

Doing business as

ManorCare Health Services

Practice address

600 Main St S
Minot, ND 58701-4499

Phone

(701) 852-1255

Fax

(701) 852-1134

NPI assigned

Jun 11, 2006

Last updated

Feb 25, 2008By 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. Barry A Lazarus

Title

Vice President - Reimbursements

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ManorCare Health Services Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1447292164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: BARRY LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-252-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST S",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014499",
            "telephone_number": "701-852-1255",
            "fax_number": "701-852-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF MINOT ND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1041A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30479",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audrey Marie Maline
• Management & Training Corporation
• Suneet Mangat, MD
• Radhika Manjeshwar, MD
• Amarjot Mann, MD
• Gloria E Maragos, CRNA
• Market Pharmacy Inc
• Jessica Marlles, CLC
• Amber Lea Marquardt
• Beth J Marschner, PT, DPT

• Skilled Nursing Facility in Minot, ND
• Providers in Minot, ND by specialty
• Skilled Nursing Facility in North Dakota

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