NPIMap

Organization Active NPI

City of Genoa

  • Assisted Living Facility
  • Genoa, NE
National Provider Identifier
1356638175
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF268 Issued in NE
Legal business name
CITY OF GENOA
Practice address
706 Ewing St
Genoa, NE 68640-3035
Phone
(402) 993-2283
Fax
(402) 993-2373
NPI assigned
Jun 30, 2011
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Amanda Roebuck
Title
Ceo
Phone
(402) 993-4583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility 310400000X ALF268 NE Primary

Addresses

Primary practice location

706 Ewing St
Genoa, NE 68640-3035

Mailing address

PO Box 310
Genoa, NE 68640-0310
Phone (402) 993-2283

Other names 1

  • Looking Glass Estates Other name

National Provider Directory

National Provider Directory
Tax ID family
Genoa Community Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1356638175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "GENOA",
            "state": "NE",
            "postal_code": "686400310",
            "telephone_number": "402-993-2283",
            "fax_number": "402-993-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 EWING ST",
            "city": "GENOA",
            "state": "NE",
            "postal_code": "686403035",
            "telephone_number": "402-993-2283",
            "fax_number": "402-993-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GENOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "ROEBUCK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-993-4583"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Looking Glass Estates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Looking Glass Estates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Genoa, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.