NPIMap

Organization Active NPI

Cornhusker Place

  • Substance Abuse Rehabilitation Facility
  • Lincoln, NE
National Provider Identifier
1184914756
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
164W00000X Issued in NE
Legal business name
CORNHUSKER PLACE
Practice address
721 K St
Lincoln, NE 68508-2949
Phone
(402) 477-3951
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Phil Tegeler
Title
Executive Director
Phone
(402) 477-3951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 164W00000X NE Primary

Addresses

Primary practice location

721 K St
Lincoln, NE 68508-2949

Mailing address

721 K St
Lincoln, NE 68508-2949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1184914756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082949",
            "telephone_number": "402-477-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNHUSKER PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "TEGELER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-477-3951"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "164W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.