Organization Active NPI

Midwest Covenant Home, Inc.

  • Skilled Nursing Facility
  • Stromsburg, NE
National Provider Identifier
1326047697
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
644002 Issued in NE
Legal business name
MIDWEST COVENANT HOME, INC.
Practice address
615 E 9TH St
Stromsburg, NE 68666-4053
Phone
(402) 764-2711
Fax
(402) 764-4352
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Mr. Christopher M Young
Title
Administrator
Phone
(402) 764-2711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 644002 NE Primary

Addresses

Primary practice location

615 E 9TH St
Stromsburg, NE 68666-4053

Mailing address

615 E 9TH St
PO Box 367
Stromsburg, NE 68666-4053
Phone (402) 764-2711

Other identifiers 6

IdentifierTypeStateIssuer
F249543OtherAETNA
F249543OtherCIGNA
00526OtherBLUE CROSS BLUE SHIELD
0640750001OtherDMERC
F249543OtherTEAMCARE
F249543OtherMIDLANDS CHOICE

Other names 1

  • Midwest Covenant Home, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110000461 NE Part A Provider - Skilled Nursing Facility 3779531447 Practice locations: Stromsburg, NE

Skilled nursing facility certification: CCN 285062

Legal name
MIDWEST COVENANT HOME, INC.
Doing business as
MIDWEST COVENANT HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 20, 1983
Last certification
Mar 26, 2025
Beds
51
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
615 E 9TH St
Stromsburg, NE 68666-4053
Nursing home name
MIDWEST COVENANT HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Midwest Covenant HomeCCN 285062
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 20, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5141.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Susan Cooksley Individual Corporate Director May 25, 2023
Sheila Bjerrum Individual Corporate DirectorAdministrator May 30, 2020
Adp of the SNF Jan 20, 2025
Terry Borg Individual Corporate DirectorDirector May 29, 2025
Michelle Dubas Individual Corporate DirectorDirector Feb 27, 2025
Mary Pinley Individual Corporate DirectorDirector May 29, 2025
Richard Boroviak Individual Corporate Director May 25, 2023
Tamara Hutsell Individual Corporate OfficerSecretary May 29, 2025
Corporate Director May 25, 2023
Phil Burke Individual Corporate OfficerBoard President May 30, 2024
Corporate Director May 19, 2022
Bonnie Schreiber Individual Corporate Director May 25, 2023
Cheri Giannou Individual Corporate OfficerTreasurer May 25, 2023
Corporate Director May 19, 2022
Timothy V. Teegerstrom Individual Corporate DirectorDirector Jan 13, 2025
Fawn Ienn Individual Operational/Managerial Control Mar 18, 2024
David B Jameson Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Feb 5, 2025
Timothy McIvor Individual Corporate OfficerVice Presidednt May 29, 2025
Corporate DirectorDirector May 19, 2022

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.

Affiliated clinicians 4

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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1326047697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 9TH ST",
            "address_2": "PO BOX 367",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686664053",
            "telephone_number": "402-764-2711",
            "fax_number": "402-764-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 9TH ST",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686664053",
            "telephone_number": "402-764-2711",
            "fax_number": "402-764-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COVENANT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-764-2711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "644002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "F249543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "F249543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0640750001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEAMCARE",
            "identifier": "F249543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F249543",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Covenant Home, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stromsburg, NE

Sources for this page

Verify at the official NPI Registry.