The Rehabilitation Center of Omaha, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

264007 Issued in NE

Legal business name

THE REHABILITATION CENTER OF OMAHA, LLC

Doing business as

The Rehabilitation Center of Omaha

Practice address

910 S 40TH St
Omaha, NE 68105-1827

Phone

(402) 342-2015

NPI assigned

Jan 17, 2011

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Rehabilitation Center of Omaha Doing business as

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1396040754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S 40TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051827",
            "telephone_number": "402-342-2015",
            "fax_number": "402-342-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S 40TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051827",
            "telephone_number": "402-342-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHABILITATION CENTER OF OMAHA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2011-01-17",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "264007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026052100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehabilitation Center of Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.