Manorcare Health Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MANORCARE HEALTH SERVICES, LLC

Doing business as

ProMedica Skilled Nursing and Rehabilitation (Utica Ridge)

Practice address

3800 Commerce Blvd
Davenport, IA 52807-3495

Phone

(563) 332-1888

Fax

(563) 359-0795

NPI assigned

Jul 3, 2008

Last updated

Apr 6, 2023By 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. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other names 1

• ProMedica Skilled Nursing and Rehabilitation (Utica Ridge) Doing business as

Electronic endpoints 1

Member of 1

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

• Manorcare Health Services LLC

  dba ProMedica Skilled Nursing and Rehabilitation (Lely Palms)

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1366499535

  Member Of

  NPD member

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1932362431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 COMMERCE BLVD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073495",
            "telephone_number": "563-332-1888",
            "fax_number": "563-359-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANORCARE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N St 6th #900a",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ProMedica Skilled Nursing and Rehabilitation (Utica Ridge)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Skilled Nursing and Rehabilitation (Utica Ridge)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Malloy
• Mitchell Robert Mally, D.C.
• Dipesh Kumar Mandal, M.D.
• Jonathan Douglas Manley, FNP-C
• Manor Care of Davenport Ia, LLC (ManorCare Health Services)
• Marisa Mansfield, LISW
• Barbara A Mansholt, D.C.
• Angelita Manuel, DNP
• France B Many, ARNP
• Melissa Ann Maranda, MA, LMHC

• Skilled Nursing Facility in Davenport, IA
• Providers in Davenport, 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 Apr 6, 2023; 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.