Country View Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

720464 Issued in IA

Legal business name

COUNTRY VIEW MANOR INC

Doing business as

Country View Manor Inc

Practice address

100 Cedar Lane
Sibley, IA 51249-1055

Phone

(712) 754-2568

Fax

(712) 754-2560

NPI assigned

Jul 1, 2005

Last updated

May 16, 2012By 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

Marilyn J Poppen

Title

President

Phone

(712) 754-2568

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country View Manor Inc Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Osceola Community Hospital Inc.

  dba Osceola Regional Health Center

  • Critical Access Hospital
  • Sibley, IA
  • NPI 1780751222

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1720085913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CEDAR LANE",
            "city": "SIBLEY",
            "state": "IA",
            "postal_code": "512491055",
            "telephone_number": "712-754-2568",
            "fax_number": "712-754-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CEDAR LANE",
            "city": "SIBLEY",
            "state": "IA",
            "postal_code": "512491055",
            "telephone_number": "712-754-2568",
            "fax_number": "712-754-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY VIEW MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "POPPEN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-754-2568"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "720464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16E365",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country View Manor Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen S Jones OD PC (Sibley Eye Care)
• Avera McKennan (Avera Medical Group Sibley)
• Care Initiatives (Sibley Specialty Care)
• County of Osceola (Osceola County Ambulance)
• Laura De Kruyf
• Reegan Natalie Delzer, PT, DPT
• Eberechi Cornelia Ekechukwu, M.D.
• Family Medicine Clinic

• Skilled Nursing Facility in Sibley, IA
• Providers in Sibley, 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 May 16, 2012; 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.