PCNR, LLC (NPI# 1245658483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245658483 |
| Entity Type | Organization |
| Organization Name | PCNR, LLC |
| Other Organization Name | COUNTRYSIDE NURSING & REHABILITATION CENTER |
| Practice Address |
6120 Morningside Ave Sioux City IA 51106-3943 |
| Mailing Address |
7444 Long Ave Skokie IL 60077-3214 |
| Practice Telephone | 7122763000 |
| Mailing Telephone | 8473294100 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | BENJAMIN KLEIN (MANAGER) |
| Authorized Official Telephone | 8473294100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Countryside Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821417452 | Pcnr, LLC | Custodial Care Facility | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2014-04-10 |
| Street Address |
6120 MORNINGSIDE AVE |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51106-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825876 | Countryside Retirement Home of Sioux City, Iowa | Custodial Care Facility | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2005-07-15 |
| 1235787250 | Melissa Ann Millard | Physical Therapy Assistant | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2019-09-03 |
| 1770941072 | Amy Haller | Physical Therapy Assistant | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2016-02-02 |
| 1568827889 | Cortnie Breitbarth | Physical Therapy Assistant | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2015-12-31 |
| 1861857203 | Jami Melton | Physical Therapy Assistant | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2015-12-30 |
| 1649642976 | Countryside Health Investors LLC | Skilled Nursing Facility | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2015-10-26 |
| 1821417452 | Pcnr, LLC | Custodial Care Facility | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2014-04-10 |
| 1730319674 | Countryside Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2009-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534876 | Kimberly Pilar | Hearing Instrument Specialist | 4129 Gordon Dr, Sioux City, IA 51106 | 2020-03-23 |
| 1548810625 | Morgan Elizabeth Spielman | Registered Nurse | 4527 Hawthorne Drive, Sioux City, IA 51106 | 2019-09-19 |
| 1316476062 | Atalie Elise Arnold | Behavioral Analyst | 5610 Myers Avenue, Sioux City, IA 51106 | 2017-06-07 |
| 1033507207 | Juan Pablo Munoz | Chiropractor | 3206 Singing Hills Blvd, Sioux City, IA 51106 | 2014-12-22 |
| 1649554932 | Samuel John Huff | Pharmacist | 6734 Kokopelli Pl, Sioux City, IA 51106 | 2011-10-05 |
| 1821386616 | Jennifer Lynae Smith | Dentist | 5708 Sunnybrook Dr., Sioux City, IA 51106 | 2011-07-14 |
| 1942597323 | Keith Roed | Physical Therapist | 4295 Sergeant Rd, Sioux City, IA 51106 | 2011-07-06 |
| 1639475239 | Northland Hearing Centers, Inc. | Audiologist | 4301 Sergeant Rd., Suite 109, Sioux City, IA 51106 | 2011-01-31 |
| 1588895023 | Kelly Ann Hancock | Nurse Practitioner | 2467 Sergeant Road, Sioux City, IA 51106 | 2009-07-31 |
| 1346419447 | Jean Marie Duran | Hearing Instrument Specialist | 4301 Sergeant Rd Ste 109, Sioux City, IA 51106 | 2008-02-22 |
| Find all providers in zip 51106 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346763554 | Mercy Health Services - Iowa Corp | Skilled Nursing Facility | 801 5th St Fl 7, Sioux City, IA 51101 | 2017-07-19 |
| 1740428366 | Touchstone Living Center, LLC | Skilled Nursing Facility | 1800 Indian Hills Dr, Sioux City, IA 51104-1518 | 2009-02-04 |
| 1407817653 | Hallmark Care LLC | Skilled Nursing Facility | 3800 Indian Hills Dr, Sioux City, IA 51104-1620 | 2006-03-29 |
| 1396718458 | Care Initiatives | Skilled Nursing Facility | 4201 Fieldcrest Dr, Sioux City, IA 51103-3184 | 2006-02-09 |
| 1720064843 | Harvest Communities of Sioux City, Inc | Skilled Nursing Facility | 3420 Old Lakeport Rd, Sioux City, IA 51106 | 2005-12-20 |
| 1508855271 | Holy Spirit Retirement Home Inc | Skilled Nursing Facility | 1701 W 25th St, Sioux City, IA 51103-1705 | 2005-10-17 |
| 1568926053 | Indian Hills Health Care of Sioux City, LLC | Skilled Nursing Facility | 1800 Indian Hills Dr, Sioux City, IA 51104-1518 | 2019-01-29 |
| 1811353519 | Premier Estates 510, LLC | Skilled Nursing Facility | 2121 W 19th St, Sioux City, IA 51103-2333 | 2016-01-11 |
| 1649642976 | Countryside Health Investors LLC | Skilled Nursing Facility | 6120 Morningside Ave, Sioux City, IA 51106-3943 | 2015-10-26 |
| 1346523081 | Sioux City Healthcare, LLC | Skilled Nursing Facility | 1800 Indian Hills Dr, Sioux City, IA 51104-1518 | 2011-09-20 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51106 |
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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.