Organization Active NPI

Pleasant Manor, Inc.

Doing business as Pleasant View Estates

  • Assisted Living Facility
  • Faribault, MN
National Provider Identifier
1619091774
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
333922 Issued in MN
Legal business name
PLEASANT MANOR, INC.
Doing business as
Pleasant View Estates
Practice address
41 Brand Avenue
Faribault, MN 55021-6411
Phone
(507) 333-5960
NPI assigned
Mar 16, 2007
Last updated
Sep 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Miss Bonnie Campeau, LNHA
Title
Executive Director
Phone
(507) 334-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 333922 MN Primary

Addresses

Primary practice location

41 Brand Avenue
Faribault, MN 55021-6411

Mailing address

41 Brand Avenue
Faribault, MN 55021-6411
Phone (507) 333-5960

Other identifiers 1

IdentifierTypeStateIssuer
617683000OtherMNDHS PROVIDER NUMBER

Other names 1

  • Pleasant View Estates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Manor Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1619091774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BRAND AVENUE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216411",
            "telephone_number": "507-333-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BRAND AVENUE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216411",
            "telephone_number": "507-333-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "CAMPEAU",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-334-2036",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "333922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS PROVIDER NUMBER",
            "identifier": "617683000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant View Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.