Cottonwood Estates LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF324 Issued in NE

Legal business name

COTTONWOOD ESTATES LLC

Practice address

2316 28TH St
Central City, NE 68826-9743

Phone

(308) 946-2100

Fax

(308) 946-3530

NPI assigned

Jun 28, 2011

Last updated

Jun 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda S Zinnell

Title

Consultant/Office Manager

Phone

(308) 440-9131

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

Locations

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1154617173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 28TH ST",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688269743",
            "telephone_number": "308-946-2100",
            "fax_number": "308-946-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 28TH ST",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688269743",
            "telephone_number": "308-946-2100",
            "fax_number": "308-946-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD ESTATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "ZINNELL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONSULTANT/OFFICE MANAGER",
        "authorized_official_telephone_number": "308-440-9131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100257065-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff F. Clarke, D.D.S
• Brenda Marie Cole
• Matthew James Coon, DDS
• Cor Therapeutic Services, LLC
• Cottonwood Business LLC
• Traci A Dieckmann, D.O.
• Amanda J Dinneen, COTA
• Jolene Loree Dittmer, LPNC
• Ashley R Dye
• Eyecare Associates

• Assisted Living Facility in Central City, NE
• Providers in Central City, 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 Jun 28, 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.