Council Bluffs Senior Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

780151 Issued in IA

Legal business name

COUNCIL BLUFFS SENIOR CARE, LLC

Doing business as

McPherson Health Center

Practice address

1600 McPherson Ave
Council Bluffs, IA 51503-4858

Phone

(712) 322-9285

Fax

(712) 322-7771

NPI assigned

May 22, 2010

Organization subpart

No

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

Authorized official

Name

Molly Morand

Title

Vice President

Phone

(404) 909-8388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McPherson Health Center Doing business as

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1629397211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MCPHERSON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034858",
            "telephone_number": "712-322-9285",
            "fax_number": "712-322-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MCPHERSON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034858",
            "telephone_number": "712-322-9285",
            "fax_number": "712-322-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL BLUFFS SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-22",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MORAND",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "404-909-8388"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "780151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800035",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McPherson Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvonne A Cotton, APRN
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• Skilled Nursing Facility in Council Bluffs, IA
• Providers in Council Bluffs, 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 Jul 1, 2015; 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.