NPIMap

Organization Active NPI

Fremont Health

  • Community Based Hospice Care Agency
  • Fremont, NE
National Provider Identifier
1285020529
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOSPICE 9 Issued in NE
Legal business name
FREMONT HEALTH
Practice address
450 E 23Rd Street
Fremont, NE 68025-2387
Phone
(402) 721-1610
Fax
(402) 727-3433
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Mr. Patrick M Booth
Title
President/Ceo
Phone
(402) 721-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOSPICE 9 NE Primary

Addresses

Primary practice location

450 E 23Rd Street
Fremont, NE 68025-2387

Mailing address

450 E 23Rd Street
Fremont, NE 68025-2387
Phone (402) 721-1610

Other names 1

  • Fremont Health Hospice GLC - Valhaven Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hosp of Dodgec11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1285020529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 23RD STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252387",
            "telephone_number": "402-721-1610",
            "fax_number": "402-727-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252387",
            "telephone_number": "402-721-1610",
            "fax_number": "402-727-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-721-1610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NE",
            "license": "HOSPICE 9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Health Hospice GLC - Valhaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.