STATE OF NEBRASKA, DEPT. OF ADMIN. SERVICES (NPI# 1457643488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457643488 |
| Entity Type | Organization |
| Organization Name | STATE OF NEBRASKA, DEPT. OF ADMIN. SERVICES |
| Other Organization Name | STATE COTTAGES |
| Practice Address |
3000 Lincoln St State Cottages Beatrice NE 68310-3319 |
| Practice Telephone | 4022236600 |
| Practice Fax Number | 4022237589 |
| Mailing Telephone | 4022236600 |
| Mailing Fax Number | 4022237589 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | MR. KERRY T. WINTERER (CEO) |
| Authorized Official Telephone | 4024719433 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF NEBRASKA, DEPT. OF ADMIN. SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | ICFMR08 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| State Cottages | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629360656 | State of Nebraska, Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Solar Cottages, Beatrice, NE 68310-3319 | 2011-05-10 |
| Street Address |
3000 LINCOLN ST STATE COTTAGES |
| City | BEATRICE |
| State | NE |
| Zip Code | 68310-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942379516 | Janet Mae Bock | Nurse Practitioner | 3000 Lincoln St, Beatrice, NE 68310-3319 | 2006-11-07 |
| 1215383120 | Beatrice State Developmental Center | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Beatrice, NE 68310-3319 | 2016-05-10 |
| 1174977946 | Tana L. Kenley | Physician Assistant | 3000 Lincoln St, Beatrice, NE 68310-3319 | 2016-04-19 |
| 1205248093 | Kimberly Hill | Physician Assistant | 3000 Lincoln St, Beatrice, NE 68310-3319 | 2014-05-28 |
| 1124452800 | State of Nebraska Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Lake Street, Beatrice, NE 68310-3319 | 2013-08-29 |
| 1215284120 | State of Nebraska Dept. of Admin. Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Lincoln St, Kennedy Building, Beatrice, NE 68310-3319 | 2012-08-09 |
| 1043503733 | State of Nebraska Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Sheridan Cottages, Beatrice, NE 68310-3319 | 2011-05-27 |
| 1629360656 | State of Nebraska, Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Solar Cottages, Beatrice, NE 68310-3319 | 2011-05-10 |
| 1962791764 | State of Nebraska Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, 3104 State Ave, Beatrice, NE 68310-3319 | 2011-04-01 |
| 1972795466 | Dennis E Pestal | Dentist | 3000 Lincoln St, Beatrice State Development Center Dental Clinic, Beatrice, NE 68310-3319 | 2007-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629511902 | Juliana Scheideler | Massage Therapist | 1301 N 6th St., Beatrice, NE 68310 | 2016-11-18 |
| 1073801460 | Christensen Audiology & Hearing Aid Center LLC | Audiologist-Hearing Aid Fitter | 3000 Lincoln Boulevard, Beatrice, NE 68310 | 2011-07-19 |
| 1871729194 | Christine Ann Beckman | Massage Therapist | 560 Sargent, Beatrice, NE 68310 | 2009-06-01 |
| 1528237112 | Shawn Wade Bryant | Psychologist | 839 W. Court St., Suite 4, Beatrice, NE 68310 | 2008-02-27 |
| 1275720583 | Assisted Living Concepts Inc | Assisted Living Facility | 2300 Lincoln Street, Beatrice, NE 68310 | 2007-10-01 |
| 1609074228 | Amber Dawn Ferguson | Counselor | 1123 N. 9th St., Beatrice, NE 68310 | 2007-07-05 |
| 1912052671 | Ella Faye Winkle | Counselor | 29824 Hwy 77, Beatrice, NE 68310 | 2007-01-24 |
| 1306918438 | Sharon Ann Langvardt | Counselor | 123 N 9th St, Blue Valley Mental Health Center, Beatrice, NE 68310 | 2006-11-14 |
| 1033289160 | Glenda Parde Behrens | Counselor | 729 Seward Street, Seward, NE 68310 | 2006-11-08 |
| 1326117243 | Jolene Ann Pike | Nurse Practitioner | 3000 Lincoln, Beatrice, NE 68310 | 2006-11-07 |
| Find all providers in zip 68310 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215383120 | Beatrice State Developmental Center | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Beatrice, NE 68310-3319 | 2016-05-10 |
| 1124452800 | State of Nebraska Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Lake Street, Beatrice, NE 68310-3319 | 2013-08-29 |
| 1043503733 | State of Nebraska Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Sheridan Cottages, Beatrice, NE 68310-3319 | 2011-05-27 |
| 1629360656 | State of Nebraska, Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, Solar Cottages, Beatrice, NE 68310-3319 | 2011-05-10 |
| 1962791764 | State of Nebraska Dept. of Admin. Services | Intermediate Care Facility, Mentally Retarded | 3000 Lincoln St, 3104 State Ave, Beatrice, NE 68310-3319 | 2011-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487952297 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2000 W Park Ave, Norfolk, NE 68701-4701 | 2011-03-02 |
| 1790003614 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1517 Hope St, Grand Island, NE 68801-7101 | 2010-05-17 |
| 1073831996 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2814 S 169 St, Omaha, NE 68116 | 2010-05-17 |
| 1982922803 | Mosaic | Intermediate Care Facility, Mentally Retarded | 5806 S 147th St, Omaha, NE 68137-2538 | 2010-05-17 |
| 1609194521 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1433 Grandview Ave, Papillion, NE 68046-5754 | 2010-05-17 |
| 1417275546 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2215 Meadow Lark Ln, York, NE 68467-1021 | 2010-05-13 |
| 1720273386 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2915 W Faidley Ave, Grand Island, NE 68803-4108 | 2007-09-07 |
| 1972706885 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1044 23rd Rd, Axtell, NE 68924-3679 | 2007-06-07 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
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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.