NPIMap

Organization Active NPI

Alegent Health Immanuel Medical Center

  • Skilled Nursing Facility
  • Omaha, NE
National Provider Identifier
1154406643
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
264600 Issued in NE
Legal business name
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Practice address
6809 N 68TH PLZ
Omaha, NE 68152-2117
Phone
(402) 572-2595
NPI assigned
Oct 25, 2006
Organization subpart
Yes
Parent organization
ALEGENT HEALTH IMMANUEL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Evert Kuiper
Title
Ceo -CHI Health
Phone
(402) 343-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 264600 NE Primary

Addresses

Primary practice location

6809 N 68TH PLZ
Omaha, NE 68152-2117

Mailing address

PO Box 34640
Omaha, NE 68134-0640
Phone (402) 717-7889

Other names 1

  • Alegent Health Immanuel Fontenelle Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Immanuel Long Term Care4 organizations share this tax ID, including this one
Part of
The OBGYN Health Center

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1154406643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34640",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340640",
            "telephone_number": "402-717-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 N 68TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522117",
            "telephone_number": "402-572-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH IMMANUEL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEGENT HEALTH IMMANUEL MEDICAL CENTER",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "KUIPER",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "CEO -CHI HEALTH",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "264600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alegent Health Immanuel Fontenelle Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alegent Health Immanuel Fontenelle Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.