Active NPI
Sarah Ann Hester Memorial Home
- Skilled Nursing Facility
- Benkelman, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 274001
- Legal business name
- SARAH ANN HESTER MEMORIAL HOME
- Practice address
- 407 Dakota Street
Benkelman, NE 69021 - Phone
- (308) 423-2179
- Fax
- (308) 423-2107
- NPI assigned
- Nov 4, 2005
- Last updated
- Jan 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Janice Edwards, PROVISIONAL NHA
- Title
- Administrator
- Phone
- (308) 423-2179
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALF151 | NE | |
| Skilled Nursing Facility | 314000000X | 274001 | NE | Primary |
Addresses
Primary practice location
407 Dakota Street
Benkelman, NE 69021
Mailing address
407 Dakota Street
P.O. Box 646
Benkelman, NE 69021
Phone (308) 423-2179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111227000344 | NE | Part A Provider - Skilled Nursing Facility | 0941476857 | Practice locations: Benkelman, NE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1326039595. Details of each certification follow.
Skilled nursing facility certification: CCN 285241
- Legal name
- SARAH ANN HESTER MEMORIAL HOME
- Doing business as
- SARAH ANN HESTER MEMORIAL HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 2001
- Last certification
- Jan 15, 2025
- Beds
- 56
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 407 Dakota St
Benkelman, NE 69021-2124 - Nursing home name
- SARAH ANN HESTER MEMORIAL HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sarah Ann Hester Memorial Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 1, 2001
- Medicare certification status
- Active
- Certified beds
- 56
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0652680 | Sarah Ann Hester Memorial Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
407 Dakota St
Benkelman, NE 69021
Phone (308) 423-2179
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Penny J Denny | Managing Control - Governing Body | Feb 20, 2025 | |
| Trustee of the SNF | Feb 20, 2025 | ||
| Amx Holdings, LLC | Operational/Managerial Control | Mar 1, 2005 | |
| Adp of the SNF | Apr 30, 2025 | ||
| Jared S Crouse | Managing Control - Governing Body | May 15, 2025 | |
| Trustee of the SNF | May 15, 2025 | ||
| Lori L Stonehocker | Operational/Managerial Control | Nov 1, 2011 | |
| Adp of the SNF | Nov 1, 2011 | ||
| Janice Edwards | Operational/Managerial Control | Jul 15, 2005 | |
| Adp of the SNF | Jul 15, 2005 | ||
| Sara Hudson | Managing Control - Governing Body | Feb 15, 2018 | |
| Trustee of the SNF | Feb 15, 2018 | ||
| Michael E Brunswig | Managing Control - Governing Body | Feb 20, 2025 | |
| Trustee of the SNF | Feb 20, 2025 | ||
| Amy Haines | Managing Control - Governing Body | Jun 20, 2013 | |
| Trustee of the SNF | Jun 20, 2013 | ||
| Richard Bartholomew | Managing Control - Governing Body | Feb 15, 2018 | |
| Trustee of the SNF | Feb 15, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Benkelman, NE
- NPI 1326041724
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Benkelman, NE
- NPI 1982843074
-
- Family Medicine Physician
- Benkelman, NE
- NPI 1326041724
Affiliated clinicians 1
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": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231804800000",
"number": "1326039595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 DAKOTA STREET",
"address_2": "P.O. BOX 646",
"city": "BENKELMAN",
"state": "NE",
"postal_code": "69021",
"telephone_number": "308-423-2179",
"fax_number": "308-423-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 DAKOTA STREET",
"city": "BENKELMAN",
"state": "NE",
"postal_code": "69021",
"telephone_number": "308-423-2179",
"fax_number": "308-423-2107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARAH ANN HESTER MEMORIAL HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-04",
"last_updated": "2009-01-13",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "308-423-2179",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PROVISIONAL NHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NE",
"license": "ALF151",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "274001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benkelman, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.