STATE OF NEBRASKA DEPT OF ADMIN SERVICES


Address: 12505 S 40th St, Bellevue, NE 68123-1868
Phone: 4025952180

STATE OF NEBRASKA DEPT OF ADMIN SERVICES (NPI# 1740387943) 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) 1740387943
Entity Type Organization
Organization Name STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Other Organization Name EASTERN NEBRASKA VETERANS HOMES
Practice Address 12505 S 40th St
Bellevue
NE 68123-1868
Mailing Address 301 Centennial Mall S
Po Box 98936
Lincoln
NE 68508-2529
Practice Telephone 4025952180
Practice Fax Number 4025914880
Mailing Telephone 4024719447
Mailing Fax Number 4024717783
Enumeration Date 2006-09-20
Last Update Date 2009-01-13
Authorized Official Name MR. JOHN A. HILGERT (VETERANS HOME ADMINISTRATOR)
Authorized Official Telephone 4024717762
Is Organization Subpart Y
Parent Organization Name STATE OF NEBRASKA DEPT OF ADMIN SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 264018 NE Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Eastern Nebraska Veterans Homes Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487772562 State of Nebraska Dept of Admin Services Pharmacy 2620 W Van Dorn St, Lincoln, NE 68522-9288 2007-03-27
1013004787 State of Nebraska Dept of Admin Services Psychiatric Hospital 1700 N Victory Rd, Box 1209, Norfolk, NE 68701-6859 2006-10-06
1881791085 State of Nebraska Dept of Admin Services Assisted Living Facility 1102 W 42nd St, Scottsbluff, NE 69361-4711 2006-09-20
1801993001 State of Nebraska Dept of Admin Services Skilled Nursing Facility 600 E Benjamin Ave, Norfolk, NE 68701-0830 2006-09-20
1821009069 State of Nebraska Dept of Admin Services Pharmacy 801 W Prospector Pl, Lincoln, NE 68522-1970 2006-08-11
1790706034 State of Nebraska Dept of Admin Services Assisted Living Facility 4510 E 56th St, Kearney, NE 68847-4116 2006-07-22
1942240122 State of Nebraska Dept of Admin Services Psychiatric Residential Treatment Facility West Prospector Place & Folsom Street, Lincoln, NE 68509-4949 2006-06-07
1114085826 State of Nebraska Dept of Admin Services Clinic/Center 3000 Lincoln, Beatrice, NE 68310-3319 2006-12-05

Office Location

Street Address 12505 S 40TH ST
City BELLEVUE
State NE
Zip Code 68123-1868

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821593419 Monica Thompson Physical Therapy Assistant 12505 S 40th St, Bellevue, NE 68123-1868 2018-03-27
1912261546 Rene Particia Oakes Occupational Therapist 12505 S 40th St, Bellevue, NE 68123-1868 2012-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482227 Gloria Pettigrew-fletcher Community Health Worker 12432 A 36th St, C20, Bellevue, NE 68123 2020-03-13
1225480676 Heidi Jean Mccoy Dentist 2110 Towne Centre Drive, Bellevue, NE 68123 2016-07-11
1538557442 Mariam Abdelghany I Physician Assistant 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 2014-12-30
1205243367 Sara Johnson Pharmacist 3614 Twin Creeks Drive, Bellevue, NE 68123 2014-07-21
1174826747 Francine Amy Drummond Dentist 1701 Independence Lane #22, Bellevue, NE 68123 2010-12-21
1053509588 Dunlow Orthodontics, P.C. Dentist 2219 Capehart Road, Suite 102, Bellevue, NE 68123 2007-10-10
1801911870 Michelle Lynn Gaeth Dentist 11536 S. 31st St., Bellevue, NE 68123 2007-03-20
1386789832 Mary Monique Rotert Psychologist 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 2007-02-21
1316084098 Kevin B Jones Family Medicine 3308 Samson Way Ste 102, Bellevue, NE 68123 2007-01-31
1467529727 Nebraska Medical Center Pharmacy 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 2006-11-29
Find all providers in zip 68123

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
1861946436 Bellevue of Cascadia, LLC Skilled Nursing Facility 620 N. 6th Street, Bellevue, ID 83313 2016-08-11
1457529950 Trilogy Healthcare of Bellevue, LLC Skilled Nursing Facility 101 Auxiliary Drive, Bellevue, OH 44811-1028 2008-02-19
1992747729 Fountains Bellevue Sl, LLC Skilled Nursing Facility 919 109th Ave Ne, Bellevue, WA 98004-4485 2006-06-13
1255390027 Riverview Development Corporation Skilled Nursing Facility 1201 Park St, Bellevue, IA 52031-1911 2006-03-21
1588043020 Independence Rehab LLC Skilled Nursing Facility 919 109th Ave Ne, Bellevue, WA 98004-4485 2015-05-28
1023496114 Watemark Bellevue, LLC Skilled Nursing Facility 919 109th Ave Ne, Bellevue, WA 98004-4485 2015-05-11
1033597059 Watermark Bellevue, LLC Skilled Nursing Facility 919 109th Ave Ne, Bellevue, WA 98004-4485 2015-05-11
1326390519 Paragon Rehabilitation Skilled Nursing Facility 101 Auxiliary Dr, Bellevue, OH 44811-9492 2012-10-11
1508165226 Orchard Grove Healthcare Group, LLC Skilled Nursing Facility 670 Flat Rock Rd, Bellevue, OH 44811-9486 2011-03-21
1730488685 Bellevue Healthcare Group, LLC Skilled Nursing Facility 1 Audrich Sq, Bellevue, OH 44811-9700 2011-03-17
Find all providers in BELLEVUE

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City BELLEVUE
Zip Code 68123

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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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