Organization Active NPI

Legacy Terrace II, LP

  • Assisted Living Facility
  • Lincoln, NE
National Provider Identifier
1053695965
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF299 Issued in NE
Legal business name
LEGACY TERRACE II, LP
Practice address
3777 N 58TH St
Lincoln, NE 68507-1658
Phone
(402) 466-3777
Fax
(402) 466-3797
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mr. John Kopetzky
Title
Executive Director
Phone
(402) 466-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF299 NE Primary

Addresses

Primary practice location

3777 N 58TH St
Lincoln, NE 68507-1658

Mailing address

3777 N 58TH St
Lincoln, NE 68507-1658
Phone (402) 466-3777

Other names 1

  • The Arbors Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2196753Legacy Terrace II, LP Dba the Arbors3777 N 58TH Street, Lincoln, NE 68507Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1053695965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 N 58TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071658",
            "telephone_number": "402-466-3777",
            "fax_number": "402-466-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 N 58TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071658",
            "telephone_number": "402-466-3777",
            "fax_number": "402-466-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY TERRACE II, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "KOPETZKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-466-3777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arbors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.