Primghar SNF Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRIMGHAR SNF OPERATOR LLC

Practice address

735 N Rerick Ave
Primghar, IA 51245-1052

Phone

(712) 957-3655

NPI assigned

Feb 19, 2021

Last updated

Feb 19, 2021By 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

Mr. Bruce Wertheim

Title

Attorney

Phone

(813) 347-9453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1760075717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472145",
            "telephone_number": "813-347-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N RERICK AVE",
            "city": "PRIMGHAR",
            "state": "IA",
            "postal_code": "512451052",
            "telephone_number": "712-957-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMGHAR SNF OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "WERTHEIM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "813-347-9453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O'Brien County General Relief
• Pearl Valley Rehabilitation and Nursing at Primghar, LLC
• Kelly Scott Pomerenke, M.D.
• Primghar (Primghar Ambulance Team)
• Primghar Chiropractic Center Inc
• Signature Properties of Primghar LLC (Primghar Rehabilitation and Care Center)
• Sioux Valley Memorial Hospital Association (Cherokee Regional Medical Center)
• Jennifer Marie Stubbe, DMD
• Becky J Wittrock, PA

• Skilled Nursing Facility in Primghar, IA
• Providers in Primghar, 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 Feb 19, 2021; 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.