Healthcare Provider Details

I. General information

NPI: 1205907748
Provider Name (Legal Business Name): PLEASANT CARE PARTNERS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 11/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 GREENWOOD DR
IOWA CITY IA
52246-2121
US

IV. Provider business mailing address

605 GREENWOOD DR
IOWA CITY IA
52246-2121
US

V. Phone/Fax

Practice location:
  • Phone: 319-325-3316
  • Fax: 319-351-9225
Mailing address:
  • Phone: 319-338-7912
  • Fax: 319-351-9225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number520101
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number520101
License Number StateIA

VIII. Authorized Official

Name: JERRY NICHOLLS
Title or Position: OWNER
Credential:
Phone: 319-338-7912