Organization Active NPI

Immanuel Personal Response System

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1154511988
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
IMMANUEL PERSONAL RESPONSE SYSTEM
Practice address
6801 N 67TH PLZ
Suite 100
Omaha, NE 68152-2173
Phone
(402) 829-3277
Fax
(402) 829-3237
NPI assigned
Jul 27, 2007
Organization subpart
Yes
Parent organization
IMMANUEL RETIREMENT COMMUNITIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Joyce Busch
Title
Manager
Phone
(402) 829-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6801 N 67TH PLZ
Suite 100
Omaha, NE 68152-2173

Mailing address

6801 N 67TH PLZ
Suite 100
Omaha, NE 68152-2173
Phone (402) 829-3277

Other identifiers 1

IdentifierTypeStateIssuer
0537571MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Immanuel Personal Response System2 organizations share this tax ID, including this one
Part of
Immanuel Personal Response System

Other organizations with this tax ID 1

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

Locations

6801 N 67th Plz
Ste 100
Omaha, NE 68152
Phone (402) 829-3277

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1154511988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 N 67TH PLZ",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522173",
            "telephone_number": "402-829-3277",
            "fax_number": "402-829-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 N 67TH PLZ",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522173",
            "telephone_number": "402-829-3277",
            "fax_number": "402-829-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL PERSONAL RESPONSE SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMMANUEL RETIREMENT COMMUNITIES INC",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-829-3277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0537571",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2007; 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.