HCR MANOR CARE (NPI# 1316011323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316011323 |
| Entity Type | Organization |
| Organization Name | HCR MANOR CARE |
| Practice Address |
815 E Locust St Davenport IA 52803-4345 |
| Practice Telephone | 5633243276 |
| Practice Fax Number | 5633248844 |
| Mailing Telephone | 5633243276 |
| Mailing Fax Number | 5633248844 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANGELA PETERSON (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 5633243276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0807099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437483344 | Hcr Manor Care | Skilled Nursing Facility | 5121 S Bancroft St, Indianapolis, IN 46237-1942 | 2009-09-24 |
| 1295986073 | Hcr Manor Care | Residential Treatment Facility, Physical Disabilities | 836 Diamond St, Williamsport, PA 17701-4348 | 2008-10-09 |
| 1205080686 | Hcr Manor Care | Skilled Nursing Facility | 1100 Penn Center Blvd, Suite 1111, Pittsburgh, PA 15235-5312 | 2008-11-11 |
| 1861667248 | Hcr Manor Care | Skilled Nursing Facility | 265 S National Ave, Fond Du Lac, WI 54935-5334 | 2008-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | HCR MANOR CARE FOUNDATION | Po Box 10086, Toledo, OH 43699-0086 |
| Street Address |
815 E LOCUST ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760420798 | Manor Care of Davenport Ia LLC | Skilled Nursing Facility | 815 E Locust St, Davenport, IA 52803-4345 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484271 | Christian Retirement Homes, Inc. | Nursing Facility/Intermediate Care Facility | 4130 Northwest Blvd, Davenport, IA 52806-4243 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
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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.