Manor of Lake City, Inc
NPI 1962510859 · Skilled Nursing Facility · Lake City, IA
Manor of Lake City, Inc is a Skilled Nursing Facility organization in Lake City, IA (NPI 1962510859).
Provider details
- NPI number
- 1962510859
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Vetter, President(402) 895-3932
- License
- 130137 (IA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shady Oaks
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Manor of Lake City, Inc's NPI number?
- Manor of Lake City, Inc's National Provider Identifier (NPI) is 1962510859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Manor of Lake City, Inc?
- Manor of Lake City, Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Manor of Lake City, Inc located?
- Manor of Lake City, Inc's practice location on file with NPPES is 1409 W Main St, Lake City, IA 51449-1578.
- What is Manor of Lake City, Inc's phone number?
- The practice phone number listed in the NPPES registry for Manor of Lake City, Inc is (712) 464-3106.
- Who is the authorized official for Manor of Lake City, Inc?
- The authorized official listed on Manor of Lake City, Inc's NPPES record is Jack Vetter, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Manor of Lake City, Inc's NPI active?
- Yes — Manor of Lake City, Inc's NPI (1962510859) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.