PREMIER ESTATES OF PIERCE, LLC (NPI# 1205213055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205213055 |
| Entity Type | Organization |
| Organization Name | PREMIER ESTATES OF PIERCE, LLC |
| Practice Address |
515 E Main St Pierce NE 68767-1660 |
| Mailing Address |
5265 Office Park Blvd Bradenton FL 34203-3441 |
| Practice Telephone | 4023296228 |
| Practice Fax Number | 4023294188 |
| Mailing Telephone | 9417584745 |
| Mailing Fax Number | 9417512135 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | GREGORY BENCH (CFO) |
| Authorized Official Telephone | 9417584745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100265080-00 | 05 |
| Street Address |
515 E MAIN ST |
| City | PIERCE |
| State | NE |
| Zip Code | 68767-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427454651 | Janice Wragge | Physical Therapy Assistant | 515 E Main St, Pierce, NE 68767-1660 | 2014-11-17 |
| 1780080978 | Matthew Cook I | Occupational Therapy Assistant | 515 E Main St, Pierce, NE 68767-1660 | 2014-11-14 |
| 1659527109 | Yaman Ahmad Qattea | Physical Therapist | 515 E Main St, Pierce, NE 68767-1660 | 2008-08-15 |
| 1174644751 | Ssc Pierce Operating Company LLC | Skilled Nursing Facility | 515 E Main St, Pierce, NE 68767-1660 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972873214 | Kassidy D Wachter | Physical Therapy Assistant | 515 W Main Street, Pierce, NE 68767 | 2012-01-04 |
| 1821027095 | City of Pierce | Ambulance | 106 So. 1st Street, Pierce, NE 68767-0098 | 2006-07-01 |
| 1336408913 | Sacred Heart Health Services | Clinic/Center | 503 N 6th St, Pierce, NE 68767-1019 | 2012-05-16 |
| 1730410069 | Robert J Broekemeier | Nurse Practitioner | 503 N 6th St, Pierce, NE 68767-1019 | 2010-01-27 |
| 1407913494 | Barry Tietgan | Physician Assistant | 503 N 6th St, Pierce, NE 68767-1019 | 2007-01-02 |
| 1346611761 | Kyle Simmons | Speech-Language Pathologist | 211 N 7th St, Pierce, NE 68767-1215 | 2015-10-12 |
| 1619081825 | Authier/miller Eyecare Center, L.L.C. | Optometrist | 207 W Main St, Pierce, NE 68767-1278 | 2006-08-18 |
| 1598249146 | Steffen Drug, Inc. | Pharmacy | 215 E Main St Ste B, Pierce, NE 68767-1314 | 2018-09-19 |
| 1952398570 | Lane T Handke | Family Medicine | 215 E Main St, Pierce, NE 68767-1314 | 2005-09-29 |
| 1699972943 | Pierce Dental Office PC | Dentist | 102 E Main St, Pierce, NE 68767-1344 | 2007-06-29 |
| Find all providers in zip 68767 | ||||
| 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 |
|---|---|---|---|---|
| 1174644751 | Ssc Pierce Operating Company LLC | Skilled Nursing Facility | 515 E Main St, Pierce, NE 68767-1660 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437618576 | Vsl Kearney LLC | Skilled Nursing Facility | 2615 W 11th St, Kearney, NE 68845-0106 | 2019-03-18 |
| 1316436470 | St Josephs Elder Services Inc | Skilled Nursing Facility | 540 E Washington St, West Point, NE 68788-1314 | 2018-05-04 |
| 1013434703 | Snf Lincoln Operating Company LLC | Skilled Nursing Facility | 5431 S 16th St, Lincoln, NE 68512-1206 | 2017-08-24 |
| 1063935369 | Quality Care Solutions, L.L.C. | Skilled Nursing Facility | 1313 1st St, Aurora, NE 68818 | 2017-07-19 |
| 1881128064 | Hillcrest Millard, LLC | Skilled Nursing Facility | 13225 Westwood Ln, Omaha, NE 68144-3515 | 2017-04-14 |
| 1518491976 | Hillcrest Firethorn, LLC | Skilled Nursing Facility | 8601 Firethorn Lane, Lincoln, NE 68520 | 2017-04-12 |
| 1700333879 | Broken Bow Living Center, Inc. | Skilled Nursing Facility | 850 Laurel Pkwy, Broken Bow, NE 68822-1111 | 2016-09-07 |
| 1437546033 | Tabitha Inc | Skilled Nursing Facility | 3355 Orwell St, Lincoln, NE 68516-6624 | 2015-04-21 |
| 1205226552 | Bonnilee Anne Tyrrell | Skilled Nursing Facility | 7208 Van Dorn St, Lincoln, NE 68506-3651 | 2015-01-26 |
| 1073902128 | Laci Harper | Skilled Nursing Facility | 4800 Lonewood Dr, Lincoln, NE 68516-1464 | 2015-01-13 |
| Find all providers with the same taxonomy | ||||
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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.