MEDICARE: PLEASANT MANOR CARE CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	N-0237	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578633251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLEASANT MANOR CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	413 N BROADWAY ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	IA
Zip	:	52641-1609
Country	:	US
Telephone Number	:	319-385-8095
Fax Number	:	319-385-3372

Provider Business Practice Location Address
First Line	:	413 N BROADWAY ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	IA
Zip	:	52641-1609
Country	:	US
Telephone Number	:	319-385-8095
Fax Number	:	319-385-3372

Authorized Official
Title or Position	:	CORPORATE SECRETARY
Name	:	LINDA K. JUCKETTE
Credential	:
Telephone Number	:	515-223-6064

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	01/11/2022

Similar Medicare Providers

1982698296 — PLEASANT MANOR CARE CENTER
Practice Location Address:

413 N BROADWAY ST
MT PLEASANT, IA
52641-1609

Practice Phone: 319-385-8095
Practice Fax: 319-385-3372

1942304332 — CHRISTIAN HOME SERVICES INC
Practice Location Address:

209 E CHIPPEWA ST
MOUNT PLEASANT, MI
48858-1609

Practice Phone: 989-772-1261
Practice Fax: 989-772-1300

1851472674 — FRANK R FERRISE PSY.D.
Practice Location Address:

629 W MOUNT PLEASANT AVE
LIVINGSTON, NJ
07039-1609

Practice Phone: 973-422-9888
Practice Fax: 973-422-9840

1265669725 — SARA ANN GROVER LPN
Practice Location Address:

209 E CHIPPEWA ST
MOUNT PLEASANT, MI
48858-1609

Practice Phone: 231-829-3464
Practice Fax:

1700220266 — MRS. KATHERINE ANNE SHELTON LPN
Practice Location Address:

209 E CHIPPEWA ST
MOUNT PLEASANT, MI
48858-1609

Practice Phone: 989-330-1135
Practice Fax:

1376087429 — DONNA SALOWICH
Practice Location Address:

209 E CHIPPEWA ST
MOUNT PLEASANT, MI
48858-1609

Practice Phone: 989-772-1261
Practice Fax:

Directions to “PLEASANT MANOR CARE CENTER, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.