ALEGENT HEALTH IMMANUEL MEDICAL CENTER


Address: 6809 N 68th Plz, Omaha, NE 68152-2117
Phone: 4025722595

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 264600 NE Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Alegent Health Immanuel Fontenelle Home Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 6809 N 68TH PLZ
City OMAHA
State NE
Zip Code 68152-2117

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy 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.
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.

Providers in the same taxonomy and city

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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City OMAHA
Zip Code 68152

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Dataset Information

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.

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