NPIMap

Organization Active NPI

Oneill SL Inc

Doing business as Country Lane Retirement Village

  • Assisted Living Facility
  • O'Neill, NE
National Provider Identifier
1275091308
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ONEILL SL INC
Doing business as
Country Lane Retirement Village
Practice address
1203 E Hynes Ave
Oneill, NE 68763-1451
Phone
(402) 961-1358
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Mark Holtkamp
Title
Owner
Phone
(319) 594-1062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1203 E Hynes Ave
Oneill, NE 68763-1451

Mailing address

1203 E Hynes Ave
Oneill, NE 68763-1451
Phone (402) 961-1358

Other names 1

  • Country Lane Retirement Village Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1275091308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E HYNES AVE",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631451",
            "telephone_number": "402-961-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E HYNES AVE",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631451",
            "telephone_number": "402-961-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEILL SL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLTKAMP",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-594-1062"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Lane Retirement Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Neill, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.