Active NPI
Heritage of Norfolk Inc
- Skilled Nursing Facility
- Norfolk, NE
National Provider Identifier
1174631014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 524004
- Legal business name
- HERITAGE OF NORFOLK INC
- Practice address
- 1203 N 13TH St
Norfolk, NE 68701-2609 - Phone
- (402) 371-4991
- Fax
- (402) 371-7626
- NPI assigned
- Aug 29, 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
- Jack Dean Vetter
- Title
- President
- Phone
- (402) 895-3932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 524004 | NE | Primary |
Addresses
Primary practice location
1203 N 13TH St
Norfolk, NE 68701-2609
Mailing address
PO Box 429
Norfolk, NE 68702-0429
Phone (402) 371-4991
Other names 1
- Heritage of Bel Air
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1174631014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687020429",
"telephone_number": "402-371-4991",
"fax_number": "402-371-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 N 13TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687012609",
"telephone_number": "402-371-4991",
"fax_number": "402-371-7626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE OF NORFOLK INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "VETTER",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-895-3932"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "524004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage of Bel Air",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.