Brookestone Meadows Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH006 Issued in NE

Legal business name

BROOKESTONE MEADOWS INC

Practice address

600 Brookestone Meadows Plaza
Elkhorn, NE 68022-4401

Phone

(402) 289-2696

Fax

(402) 289-1090

NPI assigned

Sep 5, 2007

Last updated

Nov 4, 2010By 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. Jack Dean Vetter

Title

President

Phone

(402) 289-2696

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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.

• Clayton Jepsen Hoberman, DO

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Omaha, NE
  • NPI 1073615209
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1043404718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROOKESTONE MEADOWS PLAZA",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224401",
            "telephone_number": "402-289-2696",
            "fax_number": "402-289-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROOKESTONE MEADOWS PLAZA",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224401",
            "telephone_number": "402-289-2696",
            "fax_number": "402-289-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKESTONE MEADOWS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-289-2696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "NH006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "NH006",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanner Brickman, DPT
• Tyler Brisso, PHARMD
• Sarah Kathryn Broadhead, MD
• Amy Brobst, COTA/L
• Desirae Broekemier
• Thomas Andre Brooks, M.D.
• Emily C Brown
• Stephen Brown, MD
• Madeline Bruck
• Michael Brummer

• Skilled Nursing Facility in Elkhorn, NE
• Providers in Elkhorn, 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 Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.