NPIMap

Organization Active NPI

Haven Manor Assisted Living Plus

  • Assisted Living Facility
  • Lincoln, NE
National Provider Identifier
1154601078
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HAVEN MANOR ASSISTED LIVING PLUS
Practice address
4800 S 48TH St
College View North
Lincoln, NE 68516-1216
Phone
(402) 434-2680
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Samantha D Ulery
Title
Accounting Dept
Phone
(402) 434-2680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4800 S 48TH St
College View North
Lincoln, NE 68516-1216

Mailing address

4800 S 48TH St
College View North
Lincoln, NE 68516-1216
Phone (402) 434-2680

National Provider Directory

National Provider Directory
Tax ID family
Haven Manor Assisted Living Plus3 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": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1154601078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S 48TH ST",
            "address_2": "COLLEGE VIEW NORTH",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161216",
            "telephone_number": "402-434-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S 48TH ST",
            "address_2": "COLLEGE VIEW NORTH",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161216",
            "telephone_number": "402-434-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MANOR ASSISTED LIVING PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "ULERY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ACCOUNTING DEPT",
        "authorized_official_telephone_number": "402-434-2680"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.