Organization Active NPI

Parsons House on Eagle Run

  • Assisted Living Facility
  • Omaha, NE
National Provider Identifier
1073812723
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF129 Issued in NE
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.