BEATRICE STATE DEVELOPMENTAL CENTER (NPI# 1982973913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982973913 |
| Entity Type | Organization |
| Organization Name | BEATRICE STATE DEVELOPMENTAL CENTER |
| Practice Address |
3000 Lincoln Blvd Beatrice NE 68310-3319 |
| Practice Telephone | 4022236600 |
| Mailing Telephone | 4022236600 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | MRS. DEBRA ANN KOLMAN (DIETITIAN) |
| Authorized Official Telephone | 4028068349 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 232 | NE | Residential Treatment Facilities |
| 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 |
| 1265709745 | Beatrice State Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2011-11-28 |
| Street Address |
3000 LINCOLN BLVD |
| City | BEATRICE |
| State | NE |
| Zip Code | 68310-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801998828 | State of Nebraska Dept. of Admin. Services | Pharmacy | 3000 Lincoln Blvd, Beatrice, NE 68310 | 2006-09-01 |
| 1265709745 | Beatrice State Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2011-11-28 |
| 1568749182 | Krista Doreen Mccaghy | Occupational Therapist | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2011-11-10 |
| 1609152149 | Marcia Reimer Regier | Registered Nurse | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2011-10-28 |
| 1104102771 | Amy S Vrbas | Speech-Language Pathologist | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2011-10-27 |
| 1467738211 | Rebecca Anne Pacha | Speech-Language Pathologist | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2011-10-25 |
| 1720233554 | Marilin J Crawford | Nurse Practitioner | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2008-11-20 |
| 1194895904 | Uroule Annette Rollan | Nurse Practitioner | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2006-11-09 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386867901 | Mosaic | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 722 S 12th St, Beatrice, NE 68310-4548 | 2007-04-11 |
| 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 |
| 1265709745 | Beatrice State Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Lincoln Blvd, Beatrice, NE 68310-3319 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548634017 | Assisted Growth Services of Nebraska | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10909 Cottonwood Ln, Omaha, NE 68164-3715 | 2015-11-21 |
| 1568851400 | Developmental Disability Center of Nebraska | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4017 Greene Ave, Omaha, NE 68147-1819 | 2015-01-15 |
| 1407166234 | Resources for Human Development, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6120 S 58th St, Suite B, Lincoln, NE 68516-6403 | 2010-10-14 |
| 1902295827 | Rachidi Fraise Adedokoun | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4017 Greene Ave, Omaha, NE 68147-1819 | 2015-01-15 |
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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.