Heritage of Emerson Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

204001 Issued in NE

Legal business name

HERITAGE OF EMERSON INC

Doing business as

Heritage of Emerson

Practice address

607 Nebraska St
Emerson, NE 68733-3627

Phone

(402) 695-2683

Fax

(402) 695-2188

NPI assigned

Aug 29, 2006

Last updated

Mar 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Dean Vetter

Title

President

Phone

(402) 895-3932

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage of Emerson Doing business as

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1255449252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 NEBRASKA ST",
            "city": "EMERSON",
            "state": "NE",
            "postal_code": "687333627",
            "telephone_number": "402-695-2683",
            "fax_number": "402-695-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NEBRASKA ST",
            "city": "EMERSON",
            "state": "NE",
            "postal_code": "687333627",
            "telephone_number": "402-695-2683",
            "fax_number": "402-695-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OF EMERSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "204001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061452900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage of Emerson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emerson Hubbard Schools
• Emerson Rural Fire District (Emerson Fire & Rescue)
• Sean Alan Krusemark
• Mercy Medical Services (Emerson Mercy Medical Clinic)
• Grover Lee Palmer III
• Pender Care Centre District Inc (Emerson Apothecary)
• Pender Community Hospital District (Emerson Medical Clinic)

• Skilled Nursing Facility in Emerson, NE
• Providers in Emerson, 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 Mar 5, 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.