Accura Healthcare of Fullerton, LLC
Organization Active NPI Skilled Nursing Facility · Fullerton, NE
NPI 1073307674 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1073307674
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ACCURA HEALTHCARE OF FULLERTON, LLC
- Practice address
- 202 N Esther St
Fullerton, NE 68638-3029 - Phone
- (308) 536-2488
- NPI assigned
- Apr 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Ted Leneave
- Title
- Ceo
- Phone
- (515) 444-8056
Owners & managing parties with NPI records 1
-
Sean R. Kohl, MD
Facilities with the same owner 10
Practitioners 2
-
Brian Keith Buhlke, D.O.
-
Sean R. Kohl, MD
Affiliated clinicians 5
-
Brian Keith Buhlke, D.O.
-
Blake Cover, M.D.
-
Traci A Dieckmann, D.O.
-
Tami S Dodds, MD
-
Sean R. Kohl, MD
Medicare Care Compare: Nursing home
- Listed as
- Accura Healthcare of Fullerton
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 1, 1992
- Medicare certification status
- Active
- Certified beds
- 75 · 63.0 residents per day on average
- Chain
- Accura Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 285115
- Legal name
- ACCURA HEALTHCARE OF FULLERTON, LLC
- Doing business as
- ACCURA HEALTHCARE OF FULLERTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1992
- Last certification
- Jan 6, 2025
- Beds
- 75
- Ownership / control type
- Corporation
- Multi-facility organization
- Accura Healthcare
- Organization structure
- LLC · Proprietary
- Enrollment address
- 202 N Esther St
Fullerton, NE 68638-3029 - Nursing home name
- ACCURA HEALTHCARE OF FULLERTON
- Affiliated entity
- ACCURA HEALTHCARE
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Aviv Healthcare Properties Operating Partnership I LP |
Adp of the SNF | May 1, 2025 | |
| Avenue94 LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 5% |
| Megan Kleinsasser |
5% Or Greater Indirect Ownership Interest |
May 1, 2025 | 5% |
| Operational/Managerial Control | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Kimmons Healthcare Investments LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 80% |
| Ted a Leneave |
5% Or Greater Indirect Ownership Interest |
May 1, 2025 | 80% |
| Corporate Officer |
May 1, 2025 | 80% | |
| Operational/Managerial Control | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Brady Allen |
5% Or Greater Indirect Ownership Interest |
May 1, 2025 | 5% |
| Operational/Managerial Control | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Nebraska SNF Facilities, LLC |
Adp of the SNF | May 1, 2025 | |
| Ohi Healthcare Properties Limited Partnership |
Adp of the SNF | May 1, 2025 | |
| Omega Healthcare Investors Inc |
Adp of the SNF | May 1, 2025 | |
| Accura Management Consulting Services LLC |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| ZRR Opco LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 5% |
| Little River Investments LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 5% |
| Lisa Toti |
5% Or Greater Indirect Ownership Interest |
May 1, 2025 | 5% |
| Corporate Officer |
May 1, 2025 | ||
| Operational/Managerial Control | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Carrie J Snygg |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Sean R Kohl |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Sara Francis |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Aviv Healthcare Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 100% |
| KTL Enterprises LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 5% |
| Kristopher Glaser |
5% Or Greater Indirect Ownership Interest |
May 1, 2025 | 5% |
| Operational/Managerial Control | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Aviv Healthcare of the Midwest LLC |
5% Or Greater Direct Ownership Interest | May 1, 2025 | 100% |
| Adp of the SNF | Jun 30, 2025 | ||
| Aviv Financing II LLC |
Adp of the SNF | May 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250630002587 | CA | Part a Provider - Skilled Nursing Facility | 6103339544 | Practice locations: Fullerton, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
202 N Esther St
Fullerton, NE 68638-3029
Mailing address
4344 Corporate Dr
West Des Moines, IA 50266-5907
Other names
- Accura Healthcare of Fullerton
Other providers in Fullerton, NE
- Olivia M Anderson
- Arbor Care Centers - Fullerton LLC
- Nikki Bauer
- Vickie J Boettcher
- Boone County Health Center
All providers in Fullerton, NE · Skilled Nursing Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.