Infinia at Omaha

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

264602 Issued in NE

Legal business name

INFINIA AT OMAHA

Practice address

3110 Scott Cir
Omaha, NE 68112-2631

Phone

(402) 455-6636

Fax

(402) 455-0407

NPI assigned

Jun 28, 2005

Last updated

Aug 22, 2020By 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

Scott Robertson

Title

Owner

Phone

(801) 295-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326045998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 SCOTT CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681122631",
            "telephone_number": "402-455-6636",
            "fax_number": "402-455-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 SCOTT CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681122631",
            "telephone_number": "402-455-6636",
            "fax_number": "402-455-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINIA AT OMAHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-295-8000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "264602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.