Organization Active NPI

Kingswood Court Senior Care, LLC

  • Assisted Living Facility
  • Superior, NE
National Provider Identifier
1417849530
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KINGSWOOD COURT SENIOR CARE, LLC
Practice address
1005 Idaho St
Superior, NE 68978-1103
Phone
(402) 207-1050
NPI assigned
Jul 15, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
James Cooke
Title
Co-Owner
Phone
(402) 214-3045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1005 Idaho St
Superior, NE 68978-1103

Mailing address

1005 Idaho St
Superior, NE 68978-1103

National Provider Directory

National Provider Directory

Locations

1005 Idaho St
Superior, NE 68978
Phone (402) 207-1050

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1417849530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 IDAHO ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 IDAHO ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781103",
            "telephone_number": "402-207-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWOOD COURT SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "402-214-3045"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.