NPIMap

Organization Active NPI

Bethesda Foundation

  • Assisted Living Facility
  • Omaha, NE
National Provider Identifier
1083754881
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF080 Issued in NE
Legal business name
BETHESDA FOUNDATION
Practice address
7315 Hickory St
Omaha, NE 68124-1677
Phone
(402) 392-0767
Fax
(402) 392-2371
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julie Callender
Title
Sr. Vice President
Phone
(719) 481-5481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF080 NE Primary

Addresses

Primary practice location

7315 Hickory St
Omaha, NE 68124-1677

Mailing address

7315 Hickory St
Omaha, NE 68124-1677
Phone (402) 392-0767

Other names 1

  • Hickory Villa Other name

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
28D0964256Hickory Villa7315 Hickory Street, Omaha, NE 68124Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Care Ctrtarkio15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083754881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 HICKORY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241677",
            "telephone_number": "402-392-0767",
            "fax_number": "402-392-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 HICKORY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241677",
            "telephone_number": "402-392-0767",
            "fax_number": "402-392-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLENDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "719-481-5481"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Villa",
            "code": "5",
            "type": "Other 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 Aug 22, 2020; 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.