Burlington Care Center, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

N249 Issued in IA

Legal business name

BURLINGTON CARE CENTER, INC.

Practice address

2610 S 5TH St
Burlington, IA 52601-6610

Phone

(319) 753-2841

Fax

(319) 758-1102

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth D. Carlson

Title

Secretary

Phone

(515) 223-6064

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Burlington Care Center Doing business as

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1669468591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 S 5TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526016610",
            "telephone_number": "319-753-2841",
            "fax_number": "319-758-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S 5TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526016610",
            "telephone_number": "319-753-2841",
            "fax_number": "319-758-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "515-223-6064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "N249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800391",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Burlington, IA
• Providers in Burlington, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.