Active NPI
North Platte Care Center, LLC
- Skilled Nursing Facility
- North Platte, NE
National Provider Identifier
1174586705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 514003
- Legal business name
- NORTH PLATTE CARE CENTER, LLC
- Practice address
- 2900 W E St
North Platte, NE 69101-1803 - Phone
- (308) 534-2200
- Fax
- (308) 534-9069
- NPI assigned
- Apr 6, 2006
- 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
- Mr. Gregory S Bench
- Title
- President
- Phone
- (941) 758-4745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 514003 | NE | Primary |
Addresses
Primary practice location
2900 W E St
North Platte, NE 69101-1803
Mailing address
11523 Palmbrush TRL
Suite 331
Lakewood Ranch, FL 34202-2917
Phone (941) 758-4745
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47078244711 | Medicaid | NE | |
| 10026192100 | Medicaid | NE |
Other names 1
- North Platte Care Centre
National Provider Directory
National Provider DirectoryLocations
2900 W E St
North Platte, NE 69101
Phone (308) 534-2200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- North Platte, NE
- NPI 1194717413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339372800000",
"number": "1174586705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11523 PALMBRUSH TRL",
"address_2": "SUITE 331",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022917",
"telephone_number": "941-758-4745",
"fax_number": "888-391-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W E ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691011803",
"telephone_number": "308-534-2200",
"fax_number": "308-534-9069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH PLATTE CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2012-06-11",
"status": "A",
"authorized_official_last_name": "BENCH",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-758-4745",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "514003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47078244711",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026192100",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Platte Care Centre",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.