Organization Active NPI

Meadowlark Heights Assisted Living

  • Assisted Living Facility
  • Deshler, NE
National Provider Identifier
1407124969
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF255 Issued in NE
Legal business name
MEADOWLARK HEIGHTS ASSISTED LIVING
Practice address
1111 4TH St
Deshler, NE 68340-9616
Phone
(402) 365-4545
Fax
(402) 365-4515
NPI assigned
Dec 12, 2011
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Mary L Miller
Title
Administrator
Phone
44023654545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF255 NE Primary

Addresses

Primary practice location

1111 4TH St
Deshler, NE 68340-9616

Mailing address

1111 4TH St
PO Box 667
Deshler, NE 68340-9616
Phone (402) 365-4545

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1039326Meadowlark Heights Assisted Living1111 4TH Street, P O Box 667, Deshler, NE 68340Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Meadowlark Heights Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1111 4th St
Deshler, NE 68340
Phone (402) 365-4545

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1407124969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 4TH ST",
            "address_2": "PO BOX 667",
            "city": "DESHLER",
            "state": "NE",
            "postal_code": "683409616",
            "telephone_number": "402-365-4545",
            "fax_number": "402-365-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 4TH ST",
            "city": "DESHLER",
            "state": "NE",
            "postal_code": "683409616",
            "telephone_number": "402-365-4545",
            "fax_number": "402-365-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK HEIGHTS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "44023654545"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deshler, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.