Signature Properties of Perry, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

250714 Issued in IA

Legal business name

SIGNATURE PROPERTIES OF PERRY, LLC

Doing business as

Perry Health Care Center

Practice address

2625 East Iowa St
Perry, IA 50220-2413

Phone

(515) 465-5349

Fax

(515) 465-5349

NPI assigned

Nov 15, 2005

Last updated

Jan 17, 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

Mr. Bruce H. Mehlhop, MA

Title

Managing Member

Phone

(515) 727-1770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perry Health Care Center Doing business as

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1831171073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 EAST IOWA ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202413",
            "telephone_number": "515-465-5349",
            "fax_number": "515-465-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 EAST IOWA ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202413",
            "telephone_number": "515-465-5349",
            "fax_number": "515-465-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE PROPERTIES OF PERRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "MEHLHOP",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "515-727-1770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "250714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809525",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D Sargent, D.O.
• Sharon L Scandrett, PMHNP-BC, PHD ARNP
• Elizabeth Schares, PHARMD
• Christine Ann Secrist, PHD, LMFT
• Shopko Stores Operating Co LLC (Shopko Pharmacy 680)
• Trisha Marie Smith, O.D.
• Nicholas Sohm, MA
• Steve D Sohn, MD
• Katherine Owen Spellman, D.D.S.
• Heather Spooner, PHARMD

• Skilled Nursing Facility in Perry, IA
• Providers in Perry, 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 Jan 17, 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.