NPIMap

Organization Active NPI

Alegent Health Bergan Mercy Health System

Doing business as Lasting Hope Recovery Center

  • Psychiatric Hospital Unit
  • Omaha, NE
National Provider Identifier
1396969499
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H000110 Issued in NE
Legal business name
ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
Doing business as
Lasting Hope Recovery Center
Practice address
415 S 25TH Ave
Omaha, NE 68131-3654
Phone
(402) 717-5300
Fax
(402) 717-1097
NPI assigned
Apr 12, 2007
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Evert Kuiper
Title
Ceo - CHI Health
Phone
(402) 343-4420

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H000110 NE Primary
General Acute Care Hospital 282N00000X NU
Psychiatric Hospital 283Q00000X NU

Addresses

Primary practice location

415 S 25TH Ave
Omaha, NE 68131-3654

Mailing address

PO Box 776199
Chicago, IL 60677-6199

Other names 1

  • Lasting Hope Recovery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030729000024 NE Part A Provider - Hospital 8224947783 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE; Lavista, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396969499. Details of each certification follow.

Hospital certification: CCN 280060

Legal name
ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
Doing business as
CHI HEALTH CREIGHTON UNIVERSITY MEDICAL CENTER - BERGAN MERCY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 17, 2009
Beds
400
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
7500 Mercy Rd
Omaha, NE 68124-2319
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
CHI Health Bergan MercyCCN 280060 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Alegent Health Bergan Mercy15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
CHI Nebraska Organization, Omaha, NE Corporation 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Nadine a Heimann Individual Corporate Director Jul 1, 2019
Julie Goebel Individual Operational/Managerial ControlInterim President Feb 20, 2023
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2013 100%
Thomas Rohleder Individual Corporate OfficerSecretary Oct 1, 2025
Cindy a Alloway Individual Corporate DirectorAdvisory Board Member Oct 1, 2025
Tim Bricker Individual Corporate OfficerPresident Oct 1, 2025
Corporate DirectorPresident Oct 1, 2025
William Barney Individual Corporate Director Jul 1, 2020
Kevin Fitzgerald Individual Corporate DirectorBod Jul 15, 2021
Nick O'Tool Individual Corporate OfficerCfo Jul 1, 2023
Operational/Managerial ControlCfo Jan 7, 2023
Heather M Morgan Individual Corporate Director Jul 1, 2020
Kirtibala Gupta Individual Corporate DirectorBod Jul 15, 2021
Thomas McGinn Individual Corporate DirectorBoard Member Oct 1, 2025
John E Petersdorf Individual Corporate Director Jan 21, 2021
Alegent Health Bergan Mercy Health System Organization, Omaha, NE Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Michelle Johnson Tidjani Individual Corporate DirectorBoard Member Oct 1, 2025
Mardell Wilson Individual Corporate Director Oct 15, 2020
Kelly Bacon Individual Corporate DirectorBod Jul 15, 2021

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

Affiliated clinicians 1,091

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,091

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1396969499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776199",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 25TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313654",
            "telephone_number": "402-717-5300",
            "fax_number": "402-717-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "KUIPER",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "CEO - CHI HEALTH",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NE",
            "license": "H000110",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lasting Hope Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lasting Hope Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.