Well Nebraska Tenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WELL NEBRASKA TENANT LLC

Doing business as

Bailey Point at Miracle Hills
Bailey Point at Roxbury Park
Bailey Point of Plattsmouth1 more in Other names

Practice address

11909 Miracle Hills Dr
Omaha, NE 68154-4408

Phone

(402) 431-0011

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Mary Ellen Pisanelli

Title

Authorized Signatory

Phone

(419) 247-2800

Specialties & licenses 1

Addresses

Other names 4

• Bailey Point at Miracle Hills Doing business as
• Bailey Point at Roxbury Park Doing business as
• Bailey Point of Plattsmouth Doing business as
• Bailey Point on Van Dorn Doing business as

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1427772474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 DORR ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 MIRACLE HILLS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544408",
            "telephone_number": "402-431-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1913 Hwy 34 East",
            "address_purpose": "LOCATION",
            "city": "Plattsmouth",
            "state": "NE",
            "postal_code": "68048",
            "country_code": "US",
            "telephone_number": "402-296-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5728 S 108th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681373547",
            "country_code": "US",
            "telephone_number": "402-537-0544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7208 Van Dorn St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685063651",
            "country_code": "US",
            "telephone_number": "402-486-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELL NEBRASKA TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "PISANELLI",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "419-247-2800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bailey Point at Miracle Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bailey Point at Roxbury Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bailey Point of Plattsmouth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bailey Point on Van Dorn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Omaha, NE
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.