Active NPI
Monument Healthcare and Nursing Center LLC
- Skilled Nursing Facility
- Scottsbluff, NE
National Provider Identifier
1346104114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MONUMENT HEALTHCARE AND NURSING CENTER LLC
- Practice address
- 111 W 36TH St
Scottsbluff, NE 69361-4636 - Phone
- (308) 635-2019
- NPI assigned
- Dec 15, 2025
- 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
- Yedidya Kaganoff
- Title
- Authorized Signatory
- Phone
- (516) 504-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
111 W 36TH St
Scottsbluff, NE 69361-4636
Mailing address
325 Pembroke Rd
Bala Cynwyd, PA 19004-2826
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1336467364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766448000000",
"number": "1346104114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PEMBROKE RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W 36TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614636",
"telephone_number": "308-635-2019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONUMENT HEALTHCARE AND NURSING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A",
"authorized_official_last_name": "KAGANOFF",
"authorized_official_first_name": "YEDIDYA",
"authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
"authorized_official_telephone_number": "516-504-9797"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.