Wel-Life at Scottsbluff

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WEL-LIFE AT SCOTTSBLUFF

Practice address

617 W 33Rd St
Scottsbluff, NE 69361-4590

Phone

(308) 632-1760

Fax

(308) 632-1782

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Authorized official

Name

Michael L Moore

Title

Cfo

Phone

(605) 642-7736

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1184915977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 WEST 33RD ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614590",
            "telephone_number": "308-632-1760",
            "fax_number": "308-632-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W 33RD ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614590",
            "telephone_number": "308-632-1760",
            "fax_number": "308-632-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEL-LIFE AT SCOTTSBLUFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.