Active NPI
Compassionate Memory Care 1 Inc
- Alzheimer Center (Dementia Center)
- Omaha, NE
National Provider Identifier
1154620078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- ALF317
- Legal business name
- COMPASSIONATE MEMORY CARE 1 INC
- Practice address
- 2402 N 102ND St
Omaha, NE 68134-5530 - Phone
- (402) 391-1499
- Fax
- (402) 391-9774
- NPI assigned
- Mar 17, 2011
- Last updated
- Mar 17, 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
- Ms. Lisa Kay Graper
- Title
- President
- Phone
- (402) 699-3761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | ALF317 | NE | Primary |
Addresses
Primary practice location
2402 N 102ND St
Omaha, NE 68134-5530
Mailing address
14805 Dayton St
Omaha, NE 68137-5373
Phone (402) 612-6789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255436-00 | Medicaid | NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300320000000",
"number": "1154620078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14805 DAYTON ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681375373",
"telephone_number": "402-612-6789",
"fax_number": "402-894-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 N 102ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681345530",
"telephone_number": "402-391-1499",
"fax_number": "402-391-9774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE MEMORY CARE 1 INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A",
"authorized_official_last_name": "GRAPER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-699-3761",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "NE",
"license": "ALF317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100255436-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
- Compassion Care Senior Services (Compassion Care Medical Transportation)
- Compassion Cove Homecare
- Compassion Home Care West,LLC
- Compassionate Counseling, P.C.
- Compassionate Horizon Care Services
- Compassionate Memory Care 2, Inc
- Compassionate Minds Therapy
- Compassionate One LLC
- Compassionate Services and Consulting LLC
- Comper Care Rehab Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.