PEMBERLY PLACE MANAGEMENT, LLC (NPI# 1568929263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568929263 |
| Entity Type | Organization |
| Organization Name | PEMBERLY PLACE MANAGEMENT, LLC |
| Practice Address |
7655 Archer Pl Lincoln NE 68516-5286 |
| Practice Telephone | 4024139770 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | MONTE FROEHLICH (OWNER) |
| Authorized Official Telephone | 4028054136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
7655 ARCHER PL |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-5286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
| 1114267739 | David Kniola Crnp LLC | Assisted Living Facility | 825 Woods Ferry Rd, Lincoln, AL 35096-5874 | 2013-02-19 |
| 1205187069 | Lincoln Countryhouse LLC | Assisted Living Facility | 5720 S 25th St, Lincoln, NE 68512-2000 | 2012-09-19 |
| 1053695965 | Legacy Terrace II, Lp | Assisted Living Facility | 3777 N 58th St, Lincoln, NE 68507-1658 | 2011-10-11 |
| 1154601078 | Haven Manor Assisted Living Plus | Assisted Living Facility | 4800 S 48th St, College View North, Lincoln, NE 68516-1216 | 2011-08-23 |
| 1659663870 | Tabitha Inc | Assisted Living Facility | 4620 Randolph St, Lincoln, NE 68510-3739 | 2011-05-05 |
| 1275830937 | Lincoln Bickford Cottage | Assisted Living Facility | 4451 Old Cheney Rd, Lincoln, NE 68516-2821 | 2011-02-16 |
| 1124323126 | Havelock Manor. | Assisted Living Facility | 6330 Platte Ave, Lincoln, NE 68507-1349 | 2011-01-21 |
| 1548565948 | Orchard Park,inc. | Assisted Living Facility | 3110 S 48th St, Lincoln, NE 68506-3353 | 2011-01-14 |
| Find all providers in LINCOLN | ||||
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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.