Active NPI
Northfield Retirement Communities
- Skilled Nursing Facility
- Gering, NE
National Provider Identifier
1336134246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 704002
- Legal business name
- NORTHFIELD RETIREMENT COMMUNITIES
- Practice address
- 2550 21St Street
Gering, NE 69341 - Phone
- (308) 436-3101
- Fax
- (308) 436-3493
- NPI assigned
- Sep 16, 2005
- Organization subpart
- Yes
- Parent organization
- NORTHFIELD RETIREMENT COMMUNITIES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darrell E Roberts
- Title
- Executive Director
- Phone
- (308) 630-8199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 704002 | NE | Primary |
Addresses
Primary practice location
2550 21St Street
Gering, NE 69341
Mailing address
2100 Circle Drive
Scottsbluff, NE 69363-1894
Phone (308) 630-8291
Other names 1
- Northfield Villa Healthcare Center
National Provider Directory
National Provider Directory- Part of
- Northfield Villa Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Northfield Villa Health Care Center
- Assisted Living Facility
- Scottsbluff, NE
- NPI 1477950012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1336134246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CIRCLE DRIVE",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693631894",
"telephone_number": "308-630-8291",
"fax_number": "308-630-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 21ST STREET",
"city": "GERING",
"state": "NE",
"postal_code": "69341",
"telephone_number": "308-436-3101",
"fax_number": "308-436-3493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHFIELD RETIREMENT COMMUNITIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHFIELD RETIREMENT COMMUNITIES",
"enumeration_date": "2005-09-16",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "DARRELL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "308-630-8199",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "704002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northfield Villa Healthcare Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.