NPIMap

Organization Active NPI

Manor of Geneva, Inc

Doing business as Heritage Crossing

  • Skilled Nursing Facility
  • Geneva, NE
National Provider Identifier
1346358132
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
284003 Issued in NE
Legal business name
MANOR OF GENEVA, INC
Doing business as
Heritage Crossing
Practice address
501 N 13TH St
Geneva, NE 68361-1549
Phone
(402) 759-3194
Fax
(402) 759-3140
NPI assigned
Aug 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jack Dean Vetter
Title
President
Phone
(402) 895-3932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 284003 NE Primary

Addresses

Primary practice location

501 N 13TH St
Geneva, NE 68361-1549

Mailing address

501 N 13TH St
Geneva, NE 68361-1549
Phone (402) 759-3194

Other names 1

  • Heritage Crossing Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346358132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 13TH ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683611549",
            "telephone_number": "402-759-3194",
            "fax_number": "402-759-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 13TH ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683611549",
            "telephone_number": "402-759-3194",
            "fax_number": "402-759-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR OF GENEVA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "284003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Crossing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Geneva, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.