NPIMap

Organization Active NPI

Community Memorial Hospital, Inc.

Doing business as Community Memorial Health Center

  • Skilled Nursing Facility
  • Burwell, NE
National Provider Identifier
1063403053
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTCH005 Issued in NE
Legal business name
COMMUNITY MEMORIAL HOSPITAL, INC.
Doing business as
Community Memorial Health Center
Practice address
1015 F St
Burwell, NE 68823-5440
Phone
(308) 346-4440
Fax
(308) 346-5184
NPI assigned
Oct 31, 2005
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Hayley Groshans
Title
Management/Bom
Phone
(308) 346-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LTCH005 NE Primary

Addresses

Primary practice location

1015 F St
Burwell, NE 68823-5440

Mailing address

PO Box 340
295 N 8TH
Burwell, NE 68823-0340
Phone (308) 346-4440

Other names 1

  • Community Memorial Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040409000403 NE Part A Provider - Skilled Nursing Facility 5193719557 Practice locations: Burwell, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063403053. Details of each certification follow.

Skilled nursing facility certification: CCN 285257

Legal name
COMMUNITY MEMORIAL HOSPITAL INC
Doing business as
COMMUNITY MEMORIAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 2004
Last certification
Nov 21, 2024
Beds
64
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationProprietary
Enrollment address
1015 F St
Burwell, NE 68823-5440
Nursing home name
COMMUNITY MEMORIAL HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Community Memorial Health CenterCCN 285257 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6460.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
28D1012979Community Memorial Health Center1015 F Street, Burwell, NE 68823Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

1015 F St
Burwell, NE 68823
Phone (308) 346-4440

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Hayley Groshans Individual Corporate DirectorDirector/Administrator Aug 31, 2022
W-2 Managing EmployeeAd; Aug 31, 2022
Adp of the SNF Dec 9, 2024
Timothy Groshans Individual Operational/Managerial ControlAdministrator Jan 1, 2014 100%
Community Memorial Hospital Inc Organization Non-profit Other Dec 4, 2024 100%
Timothy Paul Garner Individual Corporate DirectorPresident Jan 1, 2011
Melissa Schere Individual Corporate Director Jan 1, 2010
Brenda Holmquist Individual Corporate Director Jan 1, 2013

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1063403053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "address_2": "295 N 8TH",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688230340",
            "telephone_number": "308-346-4440",
            "fax_number": "308-346-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 F ST",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688235440",
            "telephone_number": "308-346-4440",
            "fax_number": "308-346-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "GROSHANS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "MANAGEMENT/BOM",
        "authorized_official_telephone_number": "308-346-4440"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "LTCH005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Memorial Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Memorial Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burwell, NE

Sources for this page

Verify at the official NPI Registry.