VSL Loup City LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

744001 Issued in NE

Legal business name

VSL LOUP CITY LLC

Doing business as

Rose Lane Home

Practice address

1005 N 8TH St
Loup City, NE 68853-8215

Phone

(308) 745-0303

Fax

(308) 745-0253

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Jack D Vetter

Title

Ceo

Phone

(402) 895-3932

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rose Lane Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher W Tomhave, MD

  • Family Medicine Physician
  • Saint Paul, NE
  • NPI 1558347849
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1235669862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20220 HARNEY ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222063",
            "telephone_number": "402-885-6120",
            "fax_number": "402-895-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N 8TH ST",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688538215",
            "telephone_number": "308-745-0303",
            "fax_number": "308-745-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSL LOUP CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "744001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "744001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Lane Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rose Lane Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Ann Smedra, DPT
• Megan Stittle
• Thrive Physical Therapy & Wellness, LLC
• Valley County Hospital (VCHS Medical Clinic)
• Virach Anantachai MD PC
• Diane Dolores Wardyn

• Skilled Nursing Facility in Loup City, NE
• Providers in Loup City, 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 Jun 15, 2017; 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.