Fallbrook Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FALLBROOK ASSISTED LIVING, LLC

Practice address

6600 Juliet Court
Lincoln, NE 68521

Phone

(402) 261-9050

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Jason Lange

Title

Member

Phone

(402) 960-0376

Specialties & licenses 1

Addresses

Other names 1

• Fallbrook Assisted Living and Memory Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1255802468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 JULIET COURT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68521",
            "telephone_number": "402-261-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 JULIET COURT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68521",
            "telephone_number": "402-261-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLBROOK ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "402-960-0376"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallbrook Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Stanley Fairbanks, MASSAGE THERAPIST
• Stephanie Fairbanks
• Paige Fairhead, MPAS, PA-C
• Shani Delois Fairman
• Faith Evangelical Lutheran Church & School
• Fallbrook Behavioral Health, PC
• Fallbrook Family Dentistry
• Fallbrook Family Health Center
• John S Fallick, MD
• Christopher Lee Falter, CRNA

• Assisted Living Facility in Lincoln, NE
• Providers in Lincoln, 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 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.