Active NPI
Kearney Good Samaritan Housing, Inc
- Assisted Living Facility
- Kearney, NE
National Provider Identifier
1144516196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- KEARNEY GOOD SAMARITAN HOUSING, INC
- Practice address
- 2300 E 32ND St
Kearney, NE 68847-1900 - Phone
- (308) 236-9395
- NPI assigned
- Jun 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raye Nae Nylander
- Title
- Cfo
- Phone
- (605) 362-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2300 E 32ND St
Kearney, NE 68847-1900
Mailing address
2300 E 32ND St
Kearney, NE 68847-1900
Other names 1
- St Luke's Countryside Villa
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309392000000",
"number": "1144516196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 E 32ND ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688471900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E 32ND ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688471900",
"telephone_number": "308-236-9395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEARNEY GOOD SAMARITAN HOUSING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-30",
"status": "A",
"authorized_official_last_name": "NYLANDER",
"authorized_official_first_name": "RAYE NAE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "605-362-3100"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St Luke's Countryside Villa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kearney, NE
- Kearney Eye Institute, P.C.
- Kearney Eye Institute, P.C.
- Kearney Eye Surgical Center, Inc.
- Kearney Family Young Men'S Christian Asscociation
- Kearney Foot Clinic PC
- Kearney Housing Agency
- Kearney Housing Development Corporation
- Kearney Imaging Center LLC
- Kearney Neuropsychological Services, PC
- Kearney Pain Treatment Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.