SSC Pierce Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

624001 Issued in NE

Legal business name

SSC PIERCE OPERATING COMPANY LLC

Doing business as

Pierce Manor

Practice address

515 E Main St
Pierce, NE 68767-1660

Phone

(402) 329-6228

NPI assigned

Apr 2, 2007

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelle C Santoro

Title

Sr Director Ar

Phone

(832) 467-5728

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pierce Manor Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1174644751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MAIN ST",
            "city": "PIERCE",
            "state": "NE",
            "postal_code": "687671660",
            "telephone_number": "402-329-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC PIERCE OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR AR",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "624001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252445-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Estates of Pierce, LLC
• Yaman Ahmad Qattea, PT
• Lane Charles Rohrich, DPT
• Sacred Heart Health Services (Avera Pierce Clinic)
• Kyle Simmons
• Steffen Drug, Inc. (Pierce Pharmacy)
• Tod Voss, M.D.
• Kassidy D Wachter
• Julie Lynn Wagner
• Elaine Wessendorf

• Skilled Nursing Facility in Pierce, NE
• Providers in Pierce, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.