Ainsworth Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

064001 Issued in NE

Legal business name

AINSWORTH CARE CENTER LLC

Doing business as

Ainsworth Care Center

Practice address

143 N Fullerton St
Ainsworth, NE 69210-1515

Phone

(402) 387-2500

NPI assigned

Aug 4, 2010

Last updated

Jan 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garett J Robertson

Title

Ceo

Phone

(801) 296-5105

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ainsworth Care Center Doing business as

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1477867133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N FULLERTON ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101515",
            "telephone_number": "402-387-2500",
            "fax_number": "402-387-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N FULLERTON ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101515",
            "telephone_number": "402-387-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AINSWORTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "064001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026017200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ainsworth Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Ainsworth, NE
• Providers in Ainsworth, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.