Papillion Shadow Lake Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PAPILLION SHADOW LAKE OPERATING COMPANY LLC

Practice address

1507 E Gold Coast Rd # Ne6
Papillion, NE 68046-4722

Phone

(917) 745-7945

NPI assigned

Sep 23, 2026

Organization subpart

No

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

Authorized official

Name

Yosef Emanuel

Title

Principal

Phone

(917) 745-7945

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1225941214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E GOLD COAST RD # NE6",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E GOLD COAST RD # NE6",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464722",
            "telephone_number": "917-745-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPILLION SHADOW LAKE OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-745-7945"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Papillion la Vista Community Schools
• Papillion Manor Inc (Papillion Manor)
• Papillion Optical, Inc. (Papillion Optical)
• Papillion Pediatric Dentistry, PC
• Papillion Physical Medicine, P.C.
• Papio Ambulance Services Inc
• Paragon Dental PC (Matthew Carter DDS & Fred Tafoya DDS)
• Rechie Param
• Marilou Buyson Pare
• Darlene K Parker

• Skilled Nursing Facility in Papillion, NE
• Providers in Papillion, 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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.