Active NPI
Pleasant Manor Care Center
- Nursing Facility/Intermediate Care Facility
- Mt Pleasant, IA
National Provider Identifier
1982698296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- N0237
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16E207 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Pleasant Manor Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Mount Pleasant, IA
- NPI 1578633251
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.