ALEGENT HEALTH IMMANUEL MEDICAL CENTER (NPI# 1154406643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154406643 |
Entity Type | Organization |
Organization Name | ALEGENT HEALTH IMMANUEL MEDICAL CENTER |
Other Organization Name | ALEGENT HEALTH IMMANUEL FONTENELLE HOME |
Practice Address |
6809 N 68th Plz Omaha NE 68152-2117 |
Mailing Address |
Po Box 34640 Omaha NE 68134-0640 |
Practice Telephone | 4025722595 |
Mailing Telephone | 4027177889 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2013-10-03 |
Authorized Official Name | MAUREEN A. CAVANAUGH (COMPLIANCE OFFICER) |
Authorized Official Telephone | 4023434328 |
Is Organization Subpart | Y |
Parent Organization Name | ALEGENT HEALTH IMMANUEL MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 264600 | NE | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Alegent Health Immanuel Fontenelle Home | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
1306137260 | Alegent Health Immanuel Medical Center | Durable Medical Equipment & Medical Supplies | 6901 N 72nd St, Suite 2200, Omaha, NE 68122-1709 | 2011-04-27 |
1801129838 | Alegent Health Immanuel Medical Center | Durable Medical Equipment & Medical Supplies | 6901 N 72nd St, Omaha, NE 68122-1709 | 2009-09-09 |
1427283795 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2009-05-15 |
1912192907 | Alegent Health Immanuel Medical Center | Radiology | 6901 N 72nd St, Omaha, NE 68122-1709 | 2007-09-12 |
1497891543 | Alegent Health Immanuel Medical Center | Clinical Neuropsychologist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2007-01-29 |
1326126509 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-11-02 |
1912085184 | Alegent Health Immanuel Medical Center | Clinic/Center | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-11-02 |
1669550844 | Alegent Health Immanuel Medical Center | Durable Medical Equipment & Medical Supplies | 6901 N 72nd St, Attn Administrator, Omaha, NE 68122-1709 | 2006-11-02 |
1760567010 | Alegent Health Immanuel Medical Center | Neurological Surgery | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-10-26 |
Street Address |
6809 N 68TH PLZ |
City | OMAHA |
State | NE |
Zip Code | 68152-2117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346893583 | Jenna Michael Bahney | Physical Therapist | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2019-07-17 |
1801250873 | Monica Forman London | Occupational Therapist | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2016-04-06 |
1417311333 | Matthew Burnett | Physical Therapy Assistant | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2016-04-06 |
1760846745 | Brian Cutsor | Physical Therapy Assistant | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2016-04-06 |
1033579180 | Erin Kumetat | Occupational Therapist | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2016-03-02 |
1891150694 | Joan Shields | Occupational Therapist | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2015-12-21 |
1114382108 | Nolan Mack | Occupational Therapist | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2015-12-18 |
1215392121 | Janice Reid Gowen | Occupational Therapy Assistant | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2015-12-18 |
1346605250 | Jesse Copenharve | Physical Therapy Assistant | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2015-12-18 |
1871958868 | Sandra Wick | Occupational Therapy Assistant | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2015-12-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811392889 | Molly Motsinger | Physical Therapy Assistant | 6020 Country Club Oaks Place, Omaha, NE 68152 | 2014-11-03 |
1043625023 | Joseph Kent | Psychiatry & Neurology | 7101 Newport Ave Dept Of, Omaha, NE 68152 | 2014-06-27 |
1043588924 | Generation Hope Family Counseling & Consulting | Counselor | 6677 Sorensen Parkway, Omaha, NE 68152 | 2011-12-07 |
1144534736 | Stefany Bowden | Speech-Language Pathologist | 12849 Calhoun Rd, Omaha, NE 68152-1117 | 2010-08-05 |
1255783742 | Horseplay Acres Therapy Services | Speech-Language Pathologist | 12849 Calhoun Rd, Omaha, NE 68152-1117 | 2016-07-07 |
1588006993 | Jessica M Vandercoy | Counselor | 5605 Northern Hills Dr, Omaha, NE 68152-1192 | 2013-07-26 |
1699947853 | Erika Lee | Physical Therapist | 6533 Country Squire Ln, Omaha, NE 68152-1411 | 2008-03-27 |
1336365311 | Kelly S. Schroeder | Emergency Medicine | 10985 N 60th St, Omaha, NE 68152-1459 | 2007-04-18 |
1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
1437640760 | Tonya M Goodwin-daly | Counselor | 9910 N 48th St Ste 111, Omaha, NE 68152-1548 | 2018-05-22 |
Find all providers in zip 68152 |
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 |
---|---|---|---|---|
1881128064 | Hillcrest Millard, LLC | Skilled Nursing Facility | 13225 Westwood Ln, Omaha, NE 68144-3515 | 2017-04-14 |
1689062861 | Good Hope Healthcare, Inc. | Skilled Nursing Facility | 7501 Keystone Drive, Omaha, NE 68134 | 2014-12-22 |
1487076790 | Snf Omaha Operating Company, LLC | Skilled Nursing Facility | 1131 Papillion Pky, Omaha, NE 68154-4651 | 2014-01-07 |
1861732307 | Emily Hassel | Skilled Nursing Facility | 2129 S 46th Ave, Omaha, NE 68106-3310 | 2013-02-20 |
1871842526 | Stephanie Marie Jones | Skilled Nursing Facility | 15516 Saratoga St, Omaha, NE 68116-8490 | 2012-09-09 |
1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
1881844017 | Ltc Healthcare At Florence, Inc. | Skilled Nursing Facility | 3110 Scott Circle, Omaha, NE 68112 | 2008-09-24 |
1790981504 | Amber Lynn Schulz | Skilled Nursing Facility | 152 S 167th Cir, Omaha, NE 68118-2626 | 2007-06-27 |
1447385588 | Covenant Care Midwest, Inc | Skilled Nursing Facility | 7410 Mercy Rd, Omaha, NE 68124-2317 | 2007-02-22 |
1942310347 | The Lutheran Home | Skilled Nursing Facility | 530 S 26th St., Omaha, NE 68105 | 2006-08-30 |
Find all providers in OMAHA |
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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.