SL York, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF105 Issued in NE

Legal business name

SL YORK, LLC

Doing business as

Mahoney House

Practice address

1810 E 12TH St
York, NE 68467-2241

Phone

(402) 362-5538

Fax

(402) 362-5680

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Nate Eldred

Title

Executive Director

Phone

(402) 362-5538

Specialties & licenses 1

Addresses

Other names 1

• Mahoney House Doing business as

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1457725137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E 12TH ST",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684672241",
            "telephone_number": "402-362-5538",
            "fax_number": "402-362-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E 12TH ST",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684672241",
            "telephone_number": "402-362-5538",
            "fax_number": "402-362-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "ELDRED",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-362-5538"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahoney House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avery Michelle Schneider, OTD, OTR/L
• Karli Jo Schoch, OD
• Becky Lanae Shafer, RN
• Hannah Shockey, CNA
• Melissa Sipe
• Pam Slasbury
• Heather Anne Smith, CNA
• Roxanne V Smith
• Shayna Anne Snavely, CNA
• Shyann Haylee Snyder

• Assisted Living Facility in York, NE
• Providers in York, 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 Dec 1, 2015; 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.