Organization Active NPI

Pleasant Manor Care Center

  • Nursing Facility/Intermediate Care Facility
  • Mt Pleasant, IA
National Provider Identifier
1982698296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
N0237 Issued in IA
Legal business name
PLEASANT MANOR CARE CENTER
Practice address
413 N Broadway St
Mt Pleasant, IA 52641-1609
Phone
(319) 385-8095
Fax
(319) 385-3372
NPI assigned
Sep 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael William Hocking
Title
Administrator
Phone
(319) 385-8095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X N0237 IA Primary

Addresses

Primary practice location

413 N Broadway St
Mt Pleasant, IA 52641-1609

Mailing address

413 N Broadway St
Mt Pleasant, IA 52641-1609
Phone (319) 385-8095

Other identifiers 1

IdentifierTypeStateIssuer
16E207MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Manor Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982698296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411609",
            "telephone_number": "319-385-8095",
            "fax_number": "319-385-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411609",
            "telephone_number": "319-385-8095",
            "fax_number": "319-385-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT MANOR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOCKING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-385-8095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "N0237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16E207",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.