SL Norfolk, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF103 Issued in NE

Legal business name

SL NORFOLK, LLC

Doing business as

Madison House

Practice address

1120 N 1St St
Norfolk, NE 68701-0904

Phone

(402) 644-4567

Fax

(402) 644-8111

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Jocelyn Boruch

Title

Executive Director

Phone

(402) 644-4567

Specialties & licenses 1

Addresses

Other names 1

• Madison House Doing business as

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1245604024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N 1ST ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687010904",
            "telephone_number": "402-644-4567",
            "fax_number": "402-644-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N 1ST ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687010904",
            "telephone_number": "402-644-4567",
            "fax_number": "402-644-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL NORFOLK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "BORUCH",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-644-4567"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Sipma
• Spenser Sittre
• Losika Sivaganeshan, MD
• Heather Skarin
• Charles S Skoglund, D.D.S.
• Katelyn Slattery
• Kristen Slizoski
• Ronda Slocum
• McKenna Slonecker
• Small Steps

• Assisted Living Facility in Norfolk, NE
• Providers in Norfolk, 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 Dec 1, 2015; 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.