Organization · Type 2 NPI

Manor Care of West Des Moines Ia, LLC

Skilled Nursing Facility · West Des Moines, IA

NPI number 1265751275 Active

Practice location

5010 Grand Ridge Dr
West Des Moines, IA 50265-5754

Call (515) 222-5991 Map

Fax (515) 440-2844

Mailing address

333 N Summit St, Attn Barry Lazarus
Toledo, OH 43604-1531

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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 r…

6 other providers at this address

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NPI record

NPI: 1265751275
Entity type: Organization (Type 2)
Issued: Jun 1, 2010
Last updated: Feb 11, 2022
Status: Active

Other names

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Manorcare Health Services - West Des Moines · doing business as
Manorcare Health Services - West Des Moines · doing business as
Promedica Skilled Nursing and Rehabilitation (west Des Moines) · doing business as

Authorized official

Mr. Barry A Lazarus
Vice President
(419) 252-5540

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265751275

Manor Care of West Des Moines Ia, LLC's National Provider Identifier is 1265751275, issued on Jun 1, 2010. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in West Des Moines, IA. The record was last updated on Feb 11, 2022.