Elms Health Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

244001 Issued in NE

Legal business name

ELMS HEALTH CARE CENTER INC

Doing business as

Ponca Nursing and Assisted Living Center

Practice address

410 Ball Park Rd
Ponca, NE 68770-7243

Phone

(402) 755-2233

Fax

(402) 755-2245

NPI assigned

Oct 13, 2006

Last updated

Jul 17, 2024By 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

Jacqueline R Hatcher, ADMINISTRATOR

Title

Owner/Administrator

Phone

(402) 755-2233

Specialties & licenses 1

Addresses

Other names 1

• Ponca Nursing and Assisted Living Center Doing business as

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1285724229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6857 W JUANA DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836662",
            "telephone_number": "602-920-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BALL PARK RD",
            "city": "PONCA",
            "state": "NE",
            "postal_code": "687707243",
            "telephone_number": "402-755-2233",
            "fax_number": "402-755-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMS HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "402-755-2233",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "244001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponca Nursing and Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Dixon School District No. 1
• Kathryn Lea Crosgrove
• Robert Davey, LMT
• Brenda Delano, OTD, OTR/L
• Jaime Dobbs, PTA
• Thomas Matthew Etter, DC
• Ronda Lynne Gensler
• Delores Mae Geu
• Michael Howard Gibbs
• Brenda L Graves

• Skilled Nursing Facility in Ponca, NE
• Providers in Ponca, 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 Jul 17, 2024; 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.