Palm at Regency Square LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PALM AT REGENCY SQUARE LLC

Practice address

3501 Dakota Ave
South Sioux City, NE 68776-3641

Phone

(402) 494-4273

Fax

(402) 494-1239

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Ari Silberstein

Title

Authorized Official

Phone

(402) 494-4273

Specialties & licenses 1

Addresses

Tax ID family

Palm at Regency Square LLC2 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.

• Palm at Regency Square LLC

  • Skilled Nursing Facility
  • South Sioux City, NE
  • NPI 1598446221
  NPD tax ID

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1437830940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E MERRICK RD STE 205",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DAKOTA AVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763641",
            "telephone_number": "402-494-4273",
            "fax_number": "402-494-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM AT REGENCY SQUARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "SILBERSTEIN",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "402-494-4273"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brock A Paesl
• Cadence Paesl
• Paincare LLC
• Paincare LLC
• Palm at Regency Square
• Palm at Regency Square LLC
• Scott H Patrick, D.C.
• Jenny Pattee
• Linda S. Payer
• Martinique Michelle Peters, MA

• Assisted Living Facility in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.