Pleasant Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

326599 Issued in MN

Legal business name

PLEASANT MANOR, INC.

Practice address

27 Brand Ave
Faribault, MN 55021-6411

Phone

(507) 334-2036

Fax

(507) 334-3558

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Miss Bonnie Campeau, LNHA

Title

Executive Director

Phone

(507) 334-2036

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1982607271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BRAND AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216411",
            "telephone_number": "507-334-2036",
            "fax_number": "507-334-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BRAND AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216411",
            "telephone_number": "507-334-2036",
            "fax_number": "507-334-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "CAMPEAU",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-334-2036",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "326599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025681",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS PROVIDER NUMBER",
            "identifier": "270543500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Pieper, MA, LPCC
• Heidi Katherine Pierquet, CNP
• Hector Pineda Guzman
• Pleasant Manor LLC
• Pleasant Manor, Inc.
• Pleasant View Estates
• Meghan Pollock
• Tabitha Poore, HHA
• John Henry Poppenberg
• Nathan Carl Porath, DDS

• Skilled Nursing Facility in Faribault, MN
• Providers in Faribault, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.