Organization Active NPI

Improve Care Management and Rehab Consultant Inc

Doing business as Lyons Living Center

  • Skilled Nursing Facility
  • Lyons, NE
National Provider Identifier
1104272434
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
IMPROVE CARE MANAGEMENT AND REHAB CONSULTANT INC
Doing business as
Lyons Living Center
Practice address
1035 Diamond St
Lyons, NE 68038-2501
Phone
(402) 880-0263
NPI assigned
May 5, 2016
Last updated
Aug 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Domerlin U SodustaNPI 1679978084
Title
Owner
Phone
(402) 968-1643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1035 Diamond St
Lyons, NE 68038-2501

Mailing address

1035 Diamond Street
Lyons, NE 68038
Phone (402) 808-1075

Other names 1

  • Lyons Living Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1104272434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 DIAMOND STREET",
            "city": "LYONS",
            "state": "NE",
            "postal_code": "68038",
            "telephone_number": "402-808-1075",
            "fax_number": "402-926-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 DIAMOND ST",
            "city": "LYONS",
            "state": "NE",
            "postal_code": "680382501",
            "telephone_number": "402-880-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPROVE CARE MANAGEMENT AND REHAB CONSULTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "SODUSTA",
        "authorized_official_first_name": "DOMERLIN",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-968-1643"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyons Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyons, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.