NPIMap

Organization Active NPI

Silver Ridge Inc

  • Assisted Living Facility
  • Gretna, NE
National Provider Identifier
1104113661
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SILVER RIDGE INC
Practice address
20332 Hackberry Dr
Gretna, NE 68028-4951
Phone
(402) 332-4280
Fax
(402) 905-2319
NPI assigned
Jul 6, 2011
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mr. Dan Sedlacek
Title
Executive Director
Phone
(402) 332-4280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

20332 Hackberry Dr
Gretna, NE 68028-4951

Mailing address

20332 Hackberry Dr
Gretna, NE 68028-4951
Phone (402) 332-4280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1104113661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20332 HACKBERRY DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284951",
            "telephone_number": "402-332-4280",
            "fax_number": "402-905-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20332 HACKBERRY DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284951",
            "telephone_number": "402-332-4280",
            "fax_number": "402-905-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER RIDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "SEDLACEK",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-332-4280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.