Organization Active NPI

Ainsworth Brown County Care Center

Doing business as Sandhills Care Center

  • Skilled Nursing Facility
  • Ainsworth, NE
National Provider Identifier
1104279140
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AINSWORTH BROWN COUNTY CARE CENTER
Doing business as
Sandhills Care Center
Practice address
143 N Fullerton St
Ainsworth, NE 69210-1515
Phone
(308) 360-3399
NPI assigned
Jul 14, 2016
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Penny Jacobs
Title
Administrator
Phone
(402) 387-1294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

143 N Fullerton St
Ainsworth, NE 69210-1515

Mailing address

143 N Fullerton St
Ainsworth, NE 69210-1515

Other names 1

  • Sandhills Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161024002351 NE Part A Provider - Skilled Nursing Facility 0547548620 Practice locations: Ainsworth, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104279140. Details of each certification follow.

Skilled nursing facility certification: CCN 285298

Legal name
AINSWORTH BROWN COUNTY CARE CENTER
Doing business as
SANDHILLS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 23, 2016
Last certification
May 23, 2024
Beds
46
Ownership / control type
City/County
Organization structure
GovernmentNon-profit
Enrollment address
143 N Fullerton St
Ainsworth, NE 69210-1515
Nursing home name
SANDHILLS CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sandhills Care CenterCCN 285298 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Dec 23, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4629.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sara Mayhew Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Ainsworth Brown County Care Center Organization, Ainsworth, NE Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Nov 2, 2016 100%
Kenneth J Wasmund Individual Operational/Managerial Control Mar 11, 2024
Adp of the SNF Mar 11, 2024
Penny Jacobs Individual Operational/Managerial Control Feb 8, 2021
Adp of the SNF Feb 8, 2021
Individual Adp of the SNF Aug 1, 2019
Individual Adp of the SNF Mar 1, 2020
Organization, Florence, AL Adp of the SNF Mar 24, 2025
Organization, Ainsworth, NE Medical provider/supplier, Non-profit Adp of the SNF Mar 26, 2025
Organization, Ainsworth, NE Financial institution Adp of the SNF May 29, 2025
Organization, Ainsworth, NE Financial institution Adp of the SNF May 29, 2025
Organization, Ainsworth, NE Financial institution Adp of the SNF Mar 26, 2025
Organization, Omaha, NE Consulting firm Adp of the SNF Mar 27, 2025
Thomas E Jones Individual Managing Control - Governing BodyInterlocal Board Chairman Jul 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1104279140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N FULLERTON ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N FULLERTON ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101515",
            "telephone_number": "308-360-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AINSWORTH BROWN COUNTY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-387-1294"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandhills Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ainsworth, NE

Sources for this page

Verify at the official NPI Registry.