Pocahontas Manor Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

760036 Issued in IA

Legal business name

POCAHONTAS MANOR CORPORATION

Doing business as

Pocahontas Manor

Practice address

700 NW 7TH St
Pocahontas, IA 50574-2206

Phone

(712) 335-3386

Fax

(712) 335-4009

NPI assigned

Jan 23, 2006

Last updated

Oct 20, 2011By 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. Jeff M Burns

Title

Owner/President

Phone

(480) 215-8611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pocahontas Manor Doing business as

Locations

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1598735771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505742206",
            "telephone_number": "712-335-3386",
            "fax_number": "712-335-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505742206",
            "telephone_number": "712-335-3386",
            "fax_number": "712-335-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCAHONTAS MANOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-215-8611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "760036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0806570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocahontas Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pocahontas Community Hospital
• Pocahontas Community Hospital
• Pocahontas Community Hospital (Pocahontas Community Hospital Hospice)
• Pocahontas County Health Department
• Pocahontas County Home Care Aide Agency
• Pocahontas Pharmacy Inc
• Rachel Poppen, PHARMD
• Prairie Lakes Aea 8
• Prairie Lakes Aea 8
• Christopher David Radig, OD

• Skilled Nursing Facility in Pocahontas, IA
• Providers in Pocahontas, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.