NPIMap

Organization Active NPI

Envisions of Norfolk, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Norfolk, NE
National Provider Identifier
1417769928
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ENVISIONS OF NORFOLK, INC.
Practice address
305 N 4TH St
Norfolk, NE 68701-4003
Phone
(402) 371-1147
Fax
(402) 371-1218
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Tonya KucharNPI 1639947476
Title
Director
Phone
(402) 371-1147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

305 N 4TH St
Norfolk, NE 68701-4003

Mailing address

305 N 4TH St
Norfolk, NE 68701-4003
Phone (402) 371-1147

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
28D1028310Envisions of Norfolk, Inc305 N 4TH Street, Norfolk, NE 68701Certificate of waiverJul 21, 2028

National Provider Directory

National Provider Directory

Locations

305 N 4th St
Norfolk, NE 68701
Phone (402) 371-1147

Practitioners & affiliated clinicians

Practitioners 72

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 72

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1417769928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 4TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014003",
            "telephone_number": "402-371-1147",
            "fax_number": "402-371-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 4TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014003",
            "telephone_number": "402-371-1147",
            "fax_number": "402-371-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONS OF NORFOLK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "KUCHAR",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-371-1147"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.