Havelock Manor.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF 335 Issued in NE

Legal business name

HAVELOCK MANOR.

Practice address

6330 Platte Ave
Lincoln, NE 68507-1349

Phone

(402) 464-2222

Fax

(402) 464-2225

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Janine Sue Stearns, LPN

Title

Administrator

Phone

(402) 464-2222

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1124323126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 PLATTE AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071349",
            "telephone_number": "402-464-2222",
            "fax_number": "402-464-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 PLATTE AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071349",
            "telephone_number": "402-464-2222",
            "fax_number": "402-464-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVELOCK MANOR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-464-2222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF 335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100258547-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elissa Ann Haussler, RN
• Danica Kae Hauxwell, PHARMD, RPH
• Havco Health Inc.
• Trisha Ann Havel
• Havelock Chiropractic Center PC
• Havelock Neighborhood Pharmacy
• Havelock Physical Therapy LLC
• Havelock Psychotherapy, LLC
• Jill Ann Haveman, MPAS, PA-C
• Haven Manor Assisted Living Plus

• Assisted Living Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.