Keota Health Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KEOTA HEALTH CARE CENTER LLC

Doing business as

Keota Health Care Center

Practice address

204 N Keokuk Washington Rd
Keota, IA 52248-9496

Phone

(641) 636-3400

Fax

(641) 636-3150

NPI assigned

Dec 1, 2014

Last updated

Aug 12, 2015By 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

Michael A Sorrells

Title

Member

Phone

(812) 525-1114

Specialties & licenses 1

Addresses

Other names 1

• Keota Health Care Center Doing business as

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1649677048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N KEOKUK WASHINGTON RD",
            "city": "KEOTA",
            "state": "IA",
            "postal_code": "522489496",
            "telephone_number": "641-636-3400",
            "fax_number": "641-636-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N KEOKUK WASHINGTON RD",
            "city": "KEOTA",
            "state": "IA",
            "postal_code": "522489496",
            "telephone_number": "641-636-3400",
            "fax_number": "641-636-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOTA HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "SORRELLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-525-1114"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keota Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Elizabeth Bombei, COTA/L
• Eagle Ridge Nursing and Rehabilitation LLC
• Harvest Acres Nursing and Rehab LLC
• Keota Community School District
• Keota Family Practice
• Breena Luers, PT, MHH, DPT
• Mariah Cheyenne Lyle, DC
• Maplewood Manor Inc (Maplewood Manor)
• Jackie K Morgan, ARNP
• Opco Keota, Ia, LLC (Keota Health Care Center)

• Skilled Nursing Facility in Keota, IA
• Providers in Keota, 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 Aug 12, 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.