Active NPI
Story Medical Senior Care, LLC
- Nursing Facility/Intermediate Care Facility
- Nevada, IA
National Provider Identifier
1619624459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- STORY MEDICAL SENIOR CARE, LLC
- Practice address
- 640 S 19TH St
Nevada, IA 50201-2902 - Phone
- (515) 382-7702
- NPI assigned
- Mar 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan Thompson
- Title
- Sole Member
- Phone
- (515) 382-7702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
640 S 19TH St
Nevada, IA 50201-2902
Mailing address
640 S 19TH St
Nevada, IA 50201-2902
Other names 1
- Story Medical Senior Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1619624459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S 19TH ST",
"city": "NEVADA",
"state": "IA",
"postal_code": "502012902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S 19TH ST",
"city": "NEVADA",
"state": "IA",
"postal_code": "502012902",
"telephone_number": "515-382-7702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STORY MEDICAL SENIOR CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "515-382-7702"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Story Medical Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nevada, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.