Organization Active NPI

City of Stanton Nursing Home

Doing business as Stanton Health Center

  • Skilled Nursing Facility
  • Stanton, NE
National Provider Identifier
1295760361
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
754001 Issued in NE
Legal business name
CITY OF STANTON NURSING HOME
Doing business as
Stanton Health Center
Practice address
301 17TH St
Stanton, NE 68779-0407
Phone
(402) 439-2111
Fax
(402) 439-2132
NPI assigned
Jul 11, 2006
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Beth A Petersen
Title
Accounts Receivable
Phone
(402) 439-2111

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Assisted Living Facility 310400000X ALF193 NE
Skilled Nursing Facility 314000000X NU
Skilled Nursing Facility 314000000X 754001 NE Primary

Addresses

Primary practice location

301 17TH St
Stanton, NE 68779-0407

Mailing address

PO Box 407
Stanton, NE 68779-0407
Phone (402) 439-2111

Other names 1

  • Stanton Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081014000592 NE Part A Provider - Skilled Nursing Facility 6103994488 Practice locations: Stanton, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295760361. Details of each certification follow.

Skilled nursing facility certification: CCN 285102

Legal name
CITY OF STANTON NURSING HOME
Doing business as
STANTON HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 5, 1990
Last certification
Jun 13, 2024
Beds
70
Ownership / control type
Church Related
Organization structure
GovernmentProprietary
Enrollment address
301 17TH St
Stanton, NE 68779-0407
Nursing home name
STANTON HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stanton Health CenterCCN 285102 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Oct 5, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7057.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0455686Stanton Health Center301 17TH St, Stanton, NE 68779Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amy Pohlman Individual Corporate OfficerVice Chairman Jan 1, 2014 20%
Managing Control - Governing BodyVice Chairman Jan 1, 2014
Kyle Voecks Individual Corporate OfficerCity Mayor Jan 1, 2015 100%
Managing Control - Governing BodyMayor Jan 1, 2015
Kathy L Moore Individual Corporate DirectorChairman Oct 1, 2018 20%
Managing Control - Governing BodyPresident Oct 1, 2018
City of Stanton Nursing Home Organization, Stanton, NE 5% Or Greater Direct Ownership Interest Mar 31, 1968 100%
Adp of the SNF Mar 31, 1968
Direct Ownership Interest Mar 31, 1968 100%
Rae K Caskey Individual Corporate OfficerBoard Member Jan 1, 2023 20%
Managing Control - Governing BodyBoard Member Jan 1, 2023
Bryon D Hirschman Individual Adp of the SNF Jan 1, 2015
Indirect Ownership Interest Jan 1, 2015 1%
Colleen M Paden Individual Corporate OfficerBoard Secretary Jan 1, 2017 20%
Managing Control - Governing BodySecretary Jan 1, 2017
Pat a Larson Individual Corporate OfficerBoard Member Jan 1, 2018 20%
Managing Control - Governing BodyBoard Member Jan 1, 2018
Sonya R. Lammli Locke Individual Operational/Managerial Control Jul 3, 2022
Indirect Ownership Interest Jul 3, 2022 1%
Jonathan R Brandow Individual Corporate DirectorAdministrative Jul 1, 2023 100%
Adp of the SNF Jul 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1295760361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "STANTON",
            "state": "NE",
            "postal_code": "687790407",
            "telephone_number": "402-439-2111",
            "fax_number": "402-439-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 17TH ST",
            "city": "STANTON",
            "state": "NE",
            "postal_code": "687790407",
            "telephone_number": "402-439-2111",
            "fax_number": "402-439-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF STANTON NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "402-439-2111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF193",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "754001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanton Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stanton Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanton, NE

Sources for this page

Verify at the official NPI Registry.