NPIMap

Organization Active NPI

Anna Sundermann Home

  • Skilled Nursing Facility
  • Seward, NE
National Provider Identifier
1366430837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
724003 Issued in NE
Legal business name
ANNA SUNDERMANN HOME
Practice address
446 Pinewood Avenue
Seward, NE 68434-0009
Phone
(402) 643-2902
Fax
(402) 643-6894
NPI assigned
Oct 10, 2005
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
Mr. Alex Bryan Snavely
Title
Administrator
Phone
(402) 643-2902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 724003 NE Primary

Addresses

Primary practice location

446 Pinewood Avenue
Seward, NE 68434-0009

Mailing address

446 Pinewood Avenue
Seward, NE 68434-0009
Phone (402) 643-2902

Other identifiers 1

IdentifierTypeStateIssuer
724003OtherNESTATE LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Memorial Clinic7 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.

Locations

446 Pinewood Ave
Seward, NE 68434
Phone (402) 643-2902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366430837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 PINEWOOD AVENUE",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684340009",
            "telephone_number": "402-643-2902",
            "fax_number": "402-643-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 PINEWOOD AVENUE",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684340009",
            "telephone_number": "402-643-2902",
            "fax_number": "402-643-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA SUNDERMANN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNAVELY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-643-2902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "724003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "724003",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, 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.