Nebraska P.E.O. Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF287 Issued in NE

Legal business name

NEBRASKA P.E.O. HOME

Practice address

413 N 5TH St
Beatrice, NE 68310-2902

Phone

(402) 228-4208

Fax

(402) 228-4209

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Tracy A Magill

Title

Administrator

Phone

(402) 228-4208

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1235429903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N 5TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102902",
            "telephone_number": "402-228-4208",
            "fax_number": "402-228-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N 5TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102902",
            "telephone_number": "402-228-4208",
            "fax_number": "402-228-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA P.E.O. HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "MAGILL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-228-4208"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254577-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mosaic
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• Areli New
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• Assisted Living Facility in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.