NPIMap

Organization Active NPI

SRMC Sloan Estates Assited Living Facility

  • Assisted Living Facility
  • Sidney, NE
National Provider Identifier
1316652639
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SRMC SLOAN ESTATES ASSITED LIVING FACILITY
Doing business as
SRMC Sloan Estates Assited Living Facility
Practice address
2550 Craig Ave
Sidney, NE 69162-2632
Phone
(308) 254-5825
NPI assigned
Jan 20, 2023
Organization subpart
Yes
Parent organization
SRMC LONG TERM CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Kelly Utley
Title
Cfo
Phone
(308) 254-5825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2550 Craig Ave
Sidney, NE 69162-2632

Mailing address

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-8720

Other names 1

  • SRMC Sloan Estates Assited Living Facility Doing business as

National Provider Directory

National Provider Directory
Part of
SRMC Sloan Estates Assited Living Facility

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1316652639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622901",
            "telephone_number": "308-254-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CRAIG AVE",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622632",
            "telephone_number": "308-254-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRMC SLOAN ESTATES ASSITED LIVING FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRMC LONG TERM CARE LLC",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "308-254-5825"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRMC Sloan Estates Assited Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.