NPIMap

Organization Active NPI

Regional West Village

  • Assisted Living Facility
  • Scottsbluff, NE
National Provider Identifier
1407137409
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF146 Issued in NE
Legal business name
REGIONAL WEST VILLAGE
Doing business as
The Village at Regional West
Practice address
320 E 42ND St
Scottsbluff, NE 69361-4788
Phone
(308) 630-2001
Fax
(308) 630-2006
NPI assigned
Sep 2, 2011
Organization subpart
Yes
Parent organization
REGIONAL WEST HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mr. David Griffiths, CFO
Title
Vice President
Phone
(308) 630-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF146 NE Primary

Addresses

Primary practice location

320 E 42ND St
Scottsbluff, NE 69361-4788

Mailing address

320 E 42ND St.
Scottsbluff, NE 69361-4788
Phone (308) 630-2001

Other identifiers 1

IdentifierTypeStateIssuer
100256614-00MedicaidNE

Other names 1

  • The Village at Regional West Doing business as

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
28D1050549Village at Regional West,the320 East 42ND Street, Scottsbluff, NE 69361Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1407137409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 42ND ST.",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614788",
            "telephone_number": "308-630-2001",
            "fax_number": "308-630-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 42ND ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614788",
            "telephone_number": "308-630-2001",
            "fax_number": "308-630-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL WEST VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL WEST HEALTH SERVICES",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "308-630-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256614-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village at Regional West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.