The Waterford Care Facility at College View

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF 076 Issued in NE

Legal business name

THE WATERFORD CARE FACILITY AT COLLEGE VIEW

Practice address

4848 S 48TH St
Lincoln, NE 68516-1290

Phone

(402) 434-2680

Fax

(402) 434-2683

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Deb Maguire, LPN

Title

Chief Operating Officer

Phone

(402) 434-2680

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1326318536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161290",
            "telephone_number": "402-434-2680",
            "fax_number": "402-434-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161290",
            "telephone_number": "402-434-2680",
            "fax_number": "402-434-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATERFORD CARE FACILITY AT COLLEGE VIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "402-434-2680",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF 076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-0760634-04",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Physician Network
• The Recovery Center
• The Recovery Center
• The Relaxation Corporation PC
• The Tin Bucket Incorporated
• The Waterford Group, Inc.
• The Waterford Memory Care South 27TH, Inc.
• The Wellbeing Initiative, LLC
• The Wellness Center, P.C.
• Reba Theas

• Assisted Living Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.