NPIMap

Organization Active NPI

Village of Coleridge

  • Assisted Living Facility
  • Coleridge, NE
National Provider Identifier
1124314901
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF223 Issued in NE
Legal business name
VILLAGE OF COLERIDGE
Practice address
509 W Cedar St
Coleridge, NE 68727-2622
Phone
(402) 283-5020
Fax
(402) 283-4236
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Mrs. Sheryl I. Kalin
Title
Administrator
Phone
(402) 283-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF223 NE Primary

Addresses

Primary practice location

509 W Cedar St
Coleridge, NE 68727-2622

Mailing address

509 W Cedar St
Coleridge, NE 68727-2622
Phone (402) 283-5020

Other names 1

  • Park View Haven/The Embers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Park View Haven Nursing Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1124314901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W CEDAR ST",
            "city": "COLERIDGE",
            "state": "NE",
            "postal_code": "687272622",
            "telephone_number": "402-283-5020",
            "fax_number": "402-283-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W CEDAR ST",
            "city": "COLERIDGE",
            "state": "NE",
            "postal_code": "687272622",
            "telephone_number": "402-283-5020",
            "fax_number": "402-283-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF COLERIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "KALIN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-283-4224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park View Haven/The Embers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coleridge, NE

Sources for this page

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