Organization Active NPI

North Platte Care Center, LLC

  • Skilled Nursing Facility
  • North Platte, NE
National Provider Identifier
1174586705
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
514003 Issued in NE
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

Updated by the provider on Jun 11, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47078244711MedicaidNE
10026192100MedicaidNE

Other names 1

  • North Platte Care Centre Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.