ENOBLE MANOR CARE CENTER INC. (NPI# 1578541611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578541611 |
| Entity Type | Organization |
| Organization Name | ENOBLE MANOR CARE CENTER INC. |
| Other Organization Name | ENNOBLE MANOR CARE CENTER |
| Practice Address |
2000 Pasadena Dr Dubuque IA 52001-0808 |
| Practice Telephone | 5635571076 |
| Practice Fax Number | 5635840671 |
| Mailing Telephone | 5635571076 |
| Mailing Fax Number | 5635840671 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | MR. KENNETH D. CARLSON (GENERAL MANAGER) |
| Authorized Official Telephone | 5152236064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 310764 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0801183 | 05 |
| Other Name | Type Code |
|---|---|
| Ennoble Manor Care Center | Doing Business As Name - Organization |
| Street Address |
2000 PASADENA DR |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-0808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546298 | Ennoble Nursing LLC | Skilled Nursing Facility | 2000 Pasadena Dr, Dubuque, IA 52001-0808 | 2018-08-03 |
| 1982925509 | Covenant Care Ennoble, LLC | Skilled Nursing Facility | 2000 Pasadena Dr, Dubuque, IA 52001-0808 | 2010-06-17 |
| 1609090695 | Amy Marie Greener | Specialist | 2000 Pasadena Dr, Dubuque, IA 52001-0808 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| 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. |
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|---|---|---|---|---|
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1306884382 | Manor Care of Dubuque Ia LLC | Skilled Nursing Facility | 901 W 3rd St, Dubuque, IA 52001-6608 | 2006-06-03 |
| 1033189493 | Care Initiatives | Skilled Nursing Facility | 2935 Kaufmann Ave, Dubuque, IA 52001-1656 | 2006-01-26 |
| 1215934955 | County of Dubuque | Skilled Nursing Facility | 2375 Roosevelt St, Dubuque, IA 52001-1479 | 2005-07-07 |
| 1528546298 | Ennoble Nursing LLC | Skilled Nursing Facility | 2000 Pasadena Dr, Dubuque, IA 52001-0808 | 2018-08-03 |
| 1104331651 | Hillcrest Family Services | Skilled Nursing Facility | 1160 Seippel Rd, Dubuque, IA 52002-9788 | 2017-12-06 |
| 1982925509 | Covenant Care Ennoble, LLC | Skilled Nursing Facility | 2000 Pasadena Dr, Dubuque, IA 52001-0808 | 2010-06-17 |
| 1043302607 | The Finley Hospital | Skilled Nursing Facility | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2006-09-29 |
| 1083649206 | Mercy Medical Center-dubuque | Skilled Nursing Facility | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-07-12 |
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| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
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| 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 |
| 1669971487 | Martin Health Center, Inc. | Skilled Nursing Facility | 5111 Caraway Ln, Cedar Falls, IA 50613-8089 | 2018-02-07 |
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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.