Active NPI
Parsons House on Eagle Run
- Assisted Living Facility
- Omaha, NE
National Provider Identifier
1073812723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALF129
- Legal business name
- PARSONS HOUSE ON EAGLE RUN
- Practice address
- 14325 Eagle Run Dr
Omaha, NE 68164-5435 - Phone
- (402) 498-9554
- NPI assigned
- Mar 21, 2011
- Last updated
- Mar 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tim Manion
- Title
- President of Operations
- Phone
- (402) 498-9554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALF129 | NE | Primary |
Addresses
Primary practice location
14325 Eagle Run Dr
Omaha, NE 68164-5435
Mailing address
14325 Eagle Run Dr
Omaha, NE 68164-5435
Other names 1
- Gen3 Holdings LLC
National Provider Directory
National Provider DirectoryLocations
14325 Eagle Run Dr
Omaha, NE 68164
Phone 40231959395435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300665600000",
"number": "1073812723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14325 EAGLE RUN DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14325 EAGLE RUN DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645435",
"telephone_number": "402-498-9554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARSONS HOUSE ON EAGLE RUN",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-21",
"last_updated": "2011-03-21",
"status": "A",
"authorized_official_last_name": "MANION",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "402-498-9554",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NE",
"license": "ALF129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gen3 Holdings LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.