The Heritage at Sagewood Operating , LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE HERITAGE AT SAGEWOOD OPERATING , LLC

Practice address

1920 Sagewood Ave
Grand Island, NE 68803-1585

Phone

(308) 398-8005

Fax

(308) 675-3325

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

Brandi Cornwell

Title

Executive Director

Phone

(308) 398-8005

Specialties & licenses 1

Addresses

Other names 1

• Heritage at Sagewood Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1467096446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16934 FRANCES ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302397",
            "telephone_number": "402-933-2561",
            "fax_number": "402-933-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SAGEWOOD AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031585",
            "telephone_number": "308-398-8005",
            "fax_number": "308-675-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HERITAGE AT SAGEWOOD OPERATING , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "308-398-8005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage at Sagewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Central Nebraska Child Advocacy Center, Inc.
• The Dental Company PC
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society
• The Hearing Clinic, Inc.
• The Mary Lanning Hospital Association
• The Mary Lanning Memorial Hospital Association
• The Mary Lanning Memorial Hospital Association
• The Mary Lanning Memorial Hospital Association
• The Mary Lanning Memorial Hospital Association

• Assisted Living Facility in Grand Island, NE
• Providers in Grand Island, 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 Nov 1, 2019; 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.