Active NPI
Gateway Properties, Inc.
Doing business as Gateway Senior Living
- Skilled Nursing Facility
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 504004
- Legal business name
- GATEWAY PROPERTIES, INC.
- Doing business as
- Gateway Senior Living
Gateway Vista - Practice address
- 225 N 56TH St
Lincoln, NE 68504-3519 - Phone
- (402) 464-6371
- Fax
- (402) 467-0299
- NPI assigned
- Jun 18, 2006
- Last updated
- Mar 29, 2021
- 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
- Jason Dean Hamisch
- Title
- VP of Finance
- Phone
- (402) 753-6101
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALF064 | NE | |
| Skilled Nursing Facility | 314000000X | 504004 | NE | Primary |
Addresses
Primary practice location
225 N 56TH St
Lincoln, NE 68504-3519
Mailing address
225 N 56TH St
Lincoln, NE 68504-3519
Phone (402) 464-6371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100250486-00 | Medicaid | NE |
Other names 2
- Gateway Senior Living
- Gateway Vista
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060503000497 | NE | Part A Provider - Skilled Nursing Facility | 1052321197 | Practice locations: Lincoln, NE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336184092. Details of each certification follow.
Skilled nursing facility certification: CCN 285266
- Legal name
- GATEWAY PROPERTIES, INC.
- Doing business as
- GATEWAY VISTA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 2005
- Last certification
- Jun 12, 2024
- Beds
- 80
- Ownership / control type
- Corporation
- Multi-facility organization
- Paragon Management Services
- Organization structure
- Corporation
- Incorporated
- Feb 22, 2006 in NE
- Enrollment address
- 225 N 56TH St
Lincoln, NE 68504-3519 - Nursing home name
- GATEWAY VISTA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Gateway Vista
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 1, 2005
- Medicare certification status
- Active
- Certified beds
- 80
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 28D0692365 | Gateway Vista | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Paragon Management Services Inc | Operational/Managerial Control | Feb 22, 2006 | |
| Jennifer Jo Peterson | 5% Or Greater Direct Ownership Interest | May 1, 2006 | 50% |
| Corporate Director | May 3, 2006 | ||
| Russell Vernon Peterson | 5% Or Greater Direct Ownership Interest | May 1, 2006 | 50% |
| Corporate Director | May 3, 2006 | ||
| Mikel Ardley | Contracted Managing Employee | Mar 1, 2022 |
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Nye Legacy Health & Rehabilitation Center
- Skilled Nursing Facility
- Fremont, NE
- NPI 1700037926
Paragon Management Services Inc
-
dba Nye Pointe Health and Rehabilitation Center
- Skilled Nursing Facility
- Fremont, NE
- NPI 1346232295
Paragon Management Services Inc
-
dba Nye Home Health Care
- Home Health Agency
- Fremont, NE
- NPI 1902303316
Paragon Management Services Inc
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1548820640
-
- Nurse Practitioner
- Lincoln, NE
- NPI 1154717817
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1043253222
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1366825911
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": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1336184092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 N 56TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685043519",
"telephone_number": "402-464-6371",
"fax_number": "402-467-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N 56TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685043519",
"telephone_number": "402-464-6371",
"fax_number": "402-467-0299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY PROPERTIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "HAMISCH",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "402-753-6101"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NE",
"license": "ALF064",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "504004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250486-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Senior Living",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gateway Vista",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.