Regal Manors of Grinnell Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGAL MANORS OF GRINNELL INC

Practice address

79 6TH Ave
Grinnell, IA 50112-1802

Phone

(641) 236-6511

Fax

(641) 236-6713

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph P Dewitt

Title

Cfo

Phone

(605) 217-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Friendship Manor Care Centre Doing business as

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1811950488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121955",
            "telephone_number": "641-236-6511",
            "fax_number": "641-236-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 6TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121802",
            "telephone_number": "641-236-6511",
            "fax_number": "641-236-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL MANORS OF GRINNELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-217-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0807123",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Manor Care Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.