NPIMap

Organization Active NPI

Matneys Colonial Manor, Inc.

  • Skilled Nursing Facility
  • South Sioux City, NE
National Provider Identifier
1245341577
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
204003 Issued in NE
Legal business name
MATNEYS COLONIAL MANOR, INC.
Practice address
3200 G St
South Sioux City, NE 68776-3339
Phone
(402) 494-3043
Fax
(402) 494-8830
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Mr. Edward Matney
Title
Owner
Phone
(402) 494-3043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 204003 NE Primary

Addresses

Primary practice location

3200 G St
South Sioux City, NE 68776-3339

Mailing address

3200 G St
South Sioux City, NE 68776-3339
Phone (402) 494-3043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1245341577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 G ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763339",
            "telephone_number": "402-494-3043",
            "fax_number": "402-494-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 G ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763339",
            "telephone_number": "402-494-3043",
            "fax_number": "402-494-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATNEYS COLONIAL MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "MATNEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-494-3043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "204003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.