MARJAN MANAGEMENT SERVICES LTD (NPI# 1023005105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023005105 |
| Entity Type | Organization |
| Organization Name | MARJAN MANAGEMENT SERVICES LTD |
| Other Organization Name | NORTHBROOK MANOR CARE CENTER |
| Practice Address |
6420 Council St Ne Cedar Rapids IA 52402-1129 |
| Practice Telephone | 3193931447 |
| Practice Fax Number | 3193789533 |
| Mailing Telephone | 3193931447 |
| Mailing Fax Number | 3193789533 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | MR. MARK DWIGHT TAGUE (OWNER PRES ADMINISTRATOR) |
| Authorized Official Telephone | 3193931447 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 720 | IA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 720 | IA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Northbrook Manor Care Center | Doing Business As Name - Organization |
| Street Address |
6420 COUNCIL ST NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396371233 | Holly Bertsch | Physical Therapy Assistant | 6420 Council St Ne, Cedar Rapids, IA 52402-1129 | 2020-03-22 |
| 1750830097 | Barbara Anne Geren | Counselor | 6420 Council St Ne, Cedar Rapids, IA 52402-1129 | 2016-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649709817 | Stone Creek Senior Partners, LLC | Skilled Nursing Facility | 5710 Dean Rd Sw, Cedar Rapids, IA 52404-7931 | 2017-06-09 |
| 1144396326 | West Ridge Associates Inc | Skilled Nursing Facility | 3131 F Ave Nw, Cedar Rapids, IA 52405 | 2006-11-28 |
| 1639117187 | Manor Care of Cedar Rapids Ia LLC | Skilled Nursing Facility | 1940 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2006-06-04 |
| 1194785121 | S.t.l. Care Company | Skilled Nursing Facility | 1420 Unitypoint Way Ne, Cedar Rapids, IA 52402 | 2006-03-24 |
| 1497714117 | S.t.l. Care Company | Skilled Nursing Facility | 1050 4th Ave Se, Cedar Rapids, IA 52403-2425 | 2006-03-21 |
| 1366414351 | Care Initiatives | Skilled Nursing Facility | 200 Clive Dr Sw, Cedar Rapids, IA 52404-1324 | 2006-02-03 |
| 1497740443 | Meth Wick Community | Skilled Nursing Facility | 1224 13th St Nw, Cedar Rapids, IA 52405-2404 | 2005-09-15 |
| 1265472526 | Mercy Medical Center | Skilled Nursing Facility | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.