Organization Active NPI

Gateway Properties, Inc.

Doing business as Gateway Senior Living

  • Skilled Nursing Facility
  • Lincoln, NE
National Provider Identifier
1336184092
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
504004 Issued in NE
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100250486-00MedicaidNE

Other names 2

  • Gateway Senior Living Doing business as
  • Gateway Vista Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 VistaCCN 285266 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8073.1 residents per day on average
Penalties (3 years)
2Fines totaling $8,659

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0692365Gateway Vista225 North 56TH Street, Lincoln, NE 68504Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Paragon Management Services Inc Organization, Fremont, NE Corporation, For-profit Operational/Managerial Control Feb 22, 2006
Jennifer Jo Peterson Individual 5% Or Greater Direct Ownership Interest May 1, 2006 50%
Corporate Director May 3, 2006
Russell Vernon Peterson Individual 5% Or Greater Direct Ownership Interest May 1, 2006 50%
Corporate Director May 3, 2006
Mikel Ardley Individual Contracted Managing EmployeeExecutive Director (Interim) Mar 1, 2022

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

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

Verify at the official NPI Registry.