NPIMap

Organization Active NPI

Litzenberg Memorial Merrick County

  • Skilled Nursing Facility
  • Central City, NE
National Provider Identifier
1215012802
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTCH006 Issued in NE
Legal business name
LITZENBERG MEMORIAL MERRICK COUNTY
Practice address
1715 26TH St
Central City, NE 68826-9501
Phone
(308) 946-2920
Fax
(308) 946-3774
NPI assigned
Oct 25, 2006
Organization subpart
Yes
Parent organization
LITZENBERG MEMORIAL MERRICK COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Emily Margaret Triplett
Title
Administrator
Phone
(308) 946-2920

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Nursing Facility/Intermediate Care Facility 313M00000X LTCH006 NE
Skilled Nursing Facility 314000000X LTCH006 NE Primary

Addresses

Primary practice location

1715 26TH St
Central City, NE 68826-9501

Mailing address

1715 26TH St
Central City, NE 68826-9501
Phone (308) 946-3015

Other identifiers 1

IdentifierTypeStateIssuer
1215012802MedicaidNE

Other names 1

  • Litzenberg Memorial County Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gss4920@good-sam.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140210000664 NE Part A Provider - Skilled Nursing Facility 8022073337 Practice locations: Central City, NE

Skilled nursing facility certification: CCN 285292

Legal name
LITZENBERG MEMORIAL MERRICK COUNTY
Doing business as
LITZENBERG MEMORIAL LONG TERM CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 30, 2014
Last certification
Aug 13, 2024
Beds
46
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
1715 26TH St
Central City, NE 68826-9501
Nursing home name
LITZENBERG MEMORIAL COUNTY HOSPITAL
Affiliated entity
GOOD SAMARITAN SOCIETY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Litzenberg Memorial County HospitalCCN 285292
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Oct 30, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4630.1 residents per day on average
Chain
Good Samaritan Society92 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Litzenberg Memorial County Hospital4 organizations share this tax ID, including this one
Part of
Litzenberg Memorial County Hospital

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Emily Triplett Individual Operational/Managerial Control Jul 1, 2017
The Evangelical Lutheran Good Samaritan Society Organization, Sioux Falls, SD Corporation, Management services company, Non-profit Operational/Managerial Control Jul 1, 2017
Ronald a Glasser Individual Corporate Officer Jul 1, 1989
Corporate Director Nov 12, 1986
Tyson Benner Individual Corporate OfficerBoard Member-Treasurer Oct 20, 2021
Raymond a Huggett Individual Corporate Director Jul 1, 1999
Steven Mahnke Individual Operational/Managerial Control Jun 1, 2011
Merrick County Organization, Central City, NE 5% Or Greater Indirect Ownership Interest Jul 1, 2017 100%
Katheryn E Wolfe Individual Corporate Director Feb 1, 2002
Laurie R Johnson Individual Operational/Managerial Control Jan 13, 2012
Melissa Vandewalle Individual Operational/Managerial Control Aug 19, 2024
Adp of the SNF Aug 19, 2024

Facilities with the same owner 106

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 106

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1215012802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 26TH ST",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688269501",
            "telephone_number": "308-946-3015",
            "fax_number": "308-946-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 26TH ST",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688269501",
            "telephone_number": "308-946-2920",
            "fax_number": "308-946-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITZENBERG MEMORIAL MERRICK COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITZENBERG MEMORIAL MERRICK COUNTY",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-10-05",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-946-2920"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "LTCH006",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "LTCH006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215012802",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gss4920@good-sam.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1715 26th St",
            "city": "Central City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688269501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Litzenberg Memorial County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Litzenberg Memorial County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Central City, NE

Sources for this page

Verify at the official NPI Registry.