Organization Active NPI

Heritage of Norfolk Inc

  • Skilled Nursing Facility
  • Norfolk, NE
National Provider Identifier
1174631014
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
524004 Issued in NE
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

Updated by the provider on Dec 3, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.