Beaver City Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

314002 Issued in NE

Legal business name

BEAVER CITY MANOR

Practice address

905 Floyd St
Beaver City, NE 68926-2611

Phone

(308) 268-5111

Fax

(308) 268-6006

NPI assigned

May 24, 2006

Last updated

Sep 21, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ken Becker

Title

Mayor of Beaver City

Phone

(308) 268-2145

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003861436. Details of each certification follow.

• CCN 285269 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 285269

Legal name

BEAVER CITY MANOR

Doing business as

BEAVER CITY MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 2005

Last certification

Jun 12, 2025

Beds

30

Ownership / control type

City

Organization structure

OtherNon-profit

Enrollment address

905 Floyd St
Beaver City, NE 68926-9600

Nursing home name

BEAVER CITY MANOR

Listed as

Beaver City ManorCCN 285269 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Government - City

Certified

Oct 1, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3021.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• City of Beaver City

  dba Beaver City Ambulance

  • Land Ambulance
  • Beaver City, NE
  • NPI 1548215809

  Member Of

  NPD member

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• City of Beaver City

  dba Beaver City Ambulance

  • Land Ambulance
  • Beaver City, NE
  • NPI 1548215809

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Tamara R Johnson, MD

  • Family Medicine Physician
  • North Platte, NE
  • NPI 1992739890

  Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachelle A Kaspar-Cope, MD

  • Family Medicine Physician
  • Cambridge, NE
  • NPI 1811075146
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rachelle A Kaspar-Cope, MD

  • Family Medicine Physician
  • Cambridge, NE
  • NPI 1811075146

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1003861436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "BEAVER CITY",
            "state": "NE",
            "postal_code": "689260070",
            "telephone_number": "308-268-5111",
            "fax_number": "308-268-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FLOYD ST",
            "city": "BEAVER CITY",
            "state": "NE",
            "postal_code": "689262611",
            "telephone_number": "308-268-5111",
            "fax_number": "308-268-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER CITY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "MAYOR OF BEAVER CITY",
        "authorized_official_telephone_number": "308-268-2145",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF006",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "314002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Bodfield
• City of Beaver City (Beaver City Ambulance)
• Gail L Martin

• Skilled Nursing Facility in Beaver City, NE
• Providers in Beaver City, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.