Skyline Manor, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

264016 Issued in NE

Legal business name

SKYLINE MANOR, INC

Practice address

7350 Graceland Dr
Omaha, NE 68134-4328

Phone

(402) 572-5750

Fax

(402) 572-5777

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Huth

Title

Secretary/Treasurer

Phone

(317) 806-6770

Specialties & licenses 2

Addresses

Other names 1

• Skyline Retirement Community Doing business as

Tax ID family

Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Good Hope Healthcare, Inc.

  • Skilled Nursing Facility
  • Omaha, NE
  • NPI 1689062861
  NPD tax ID

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1316928252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 GRACELAND DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344328",
            "telephone_number": "402-572-5750",
            "fax_number": "402-572-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 GRACELAND DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344328",
            "telephone_number": "402-572-5750",
            "fax_number": "402-572-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "HUTH",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "317-806-6770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF158",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "264016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Skrobecki, M.A., CCC-SLP
• Payton Skurka
• Thomas James Skutt III, PLMHP
• Karen Skvarek, COTA
• Skyline
• Brenda Slabaugh
• Richard Joseph Slabaugh II, PLMHP
• June Frances Slack, O.T.
• Laura Lee Slack, LIMHP
• Skyler Slack

• Skilled Nursing Facility in Omaha, NE
• Providers in Omaha, 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 Mar 1, 2012; 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.