NORTH LAKE MANOR
NPI 1932495389
Skilled Nursing Facility in Storm Lake, IA

Active since June 23, 2011
1325 LAKE AVE, STORM LAKE, IA 50588(712) 732-3254(712) 732-1990 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Lake Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH LAKE MANOR (NPI 1932495389) is a healthcare organization registered as a skilled nursing facility in Storm Lake, Iowa and active in the NPI registry since June 2011. The organization lists Joseph P Dewitt, Cfo/owner, as its authorized official.

NPPES Registry Identity

NPI1932495389
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJP SENIOR HEALTHCARE LLC
Location Address1325 LAKE AVEStorm Lake, IA 50588-1907
Mailing AddressPo Box 2246Sioux City, IA 51104-0246 · (712) 574-7312 · Fax (712) 277-8313
Fax(712) 732-1990
Organization SubpartNo
Authorized OfficialJoseph P DewittCfo/owner · (712) 574-7312
Enumeration DateJune 23, 2011
Last NPPES UpdateAugust 6, 2012
NPI 1932495389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IA · 110129
Definition

(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.

1325 LAKE AVE, Storm Lake, IA 50588

Other Names 1

Doing Business AsNorth Lake Manor

Other Identifiers 2

Medicaid0800056IA
Medicare OSCAR/certification165596IA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1325 LAKE AVE
STORM LAKE, IA 50588
Respite Care
1325 LAKE AVE
STORM LAKE, IA 50588
Home Health
1325 LAKE AVE, BOX 1266
STORM LAKE, IA 50588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jp Senior Healthcare LLC's NPI number?

The NPI number for Jp Senior Healthcare LLC is 1932495389. It was assigned to this organization in the NPPES registry on June 23, 2011. The provider is doing business as North Lake Manor.

Where is Jp Senior Healthcare LLC located?

Jp Senior Healthcare LLC is located at 1325 Lake Ave, Storm Lake, IA 50588. The listed phone number is (712) 732-3254.

What is Jp Senior Healthcare LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Jp Senior Healthcare LLC was last updated on August 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.