Active NPI
SNF Omaha Operating Company, LLC
- Skilled Nursing Facility
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SNF OMAHA OPERATING COMPANY, LLC
- Practice address
- 1131 Papillion Pky
Omaha, NE 68154-4651 - Phone
- (402) 934-7500
- Fax
- (402) 934-7560
- NPI assigned
- Jan 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Haynes
- Title
- Cfo
- Phone
- (503) 542-2253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1131 Papillion Pky
Omaha, NE 68154-4651
Mailing address
1131 Papillion Parkway
Omaha, NE 68154-4651
Phone (402) 670-8785
Other names 1
- Old Mill Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140221001603 | NE | Part A Provider - Skilled Nursing Facility | 7618107418 | Practice locations: Omaha, NE |
Skilled nursing facility certification: CCN 285289
- Legal name
- SNF OMAHA OPERATING COMPANY, LLC
- Doing business as
- OLD MILL REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 6, 2014
- Last certification
- Apr 10, 2025
- Beds
- 44
- Ownership / control type
- Corporation
- Multi-facility organization
- Promontory Healthcare
- Organization structure
- LLC
- Enrollment address
- 1131 Papillion Parkway
Omaha, NE 68154-4651 - Nursing home name
- OLD MILL REHABILITATION
- Affiliated entity
- PROMONTORY HEALTHCARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Old Mill Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 6, 2014
- Medicare certification status
- Active
- Certified beds
- 44
- Chain
- Promontory Healthcare Management
National Provider Directory
National Provider DirectoryLocations
1131 Papillion Pkwy
Omaha, NE 68154
Phone (402) 934-7500
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Direct Ownership Interest | Oct 1, 2014 | 4% | |
| Michele Dein | Operational/Managerial Control | Jun 1, 2017 | |
| Adp of the SNF | Apr 19, 2025 | ||
| Promontory Healthcare Management LLC | Operational/Managerial Control | Jan 1, 2020 | 50% |
| Adp of the SNF | Apr 19, 2025 | ||
| Hcii-1131 Papillion Parkway LLC | Adp of the SNF | Mar 1, 2019 | |
| Direct Ownership Interest | Oct 1, 2014 | 2% | |
| Zamwell Group LLC | Direct Ownership Interest | Oct 22, 2009 | 15% |
| Direct Ownership Interest | Oct 1, 2014 | 2% | |
| Casey I Huntsman | Direct Ownership Interest | Nov 20, 2013 | 7% |
| Direct Ownership Interest | Oct 1, 2014 | 1% | |
| James G Adamson | Indirect Ownership Interest | Oct 1, 2014 | 47.54% |
| Anna J Haynes | Corporate Officer | Jan 1, 2016 | 25% |
| Operational/Managerial Control | Feb 17, 2016 | 50% | |
| Direct Ownership Interest | Oct 1, 2014 | 2% | |
| Gregory E Biddulph | Direct Ownership Interest | Dec 20, 2013 | 7% |
| Promontory Healthcare Holdings LLC | Direct Ownership Interest | Jan 1, 2021 | 40% |
| Direct Ownership Interest | Oct 1, 2014 | 2% | |
| Promontory Healthcare Companies LLC | Direct Ownership Interest | Oct 22, 2009 | 12% |
| Direct Ownership Interest | Oct 1, 2014 | 3% | |
| Direct Ownership Interest | Oct 1, 2014 | 2% | |
| Arman K Pajnigar | Adp of the SNF | Apr 21, 2025 | |
| Direct Ownership Interest | Oct 1, 2014 | 1% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1932136512
Direct Ownership Interest
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Lincoln, NE
- NPI 1013434703
Promontory Healthcare Management LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Papillion, NE
- NPI 1902841885
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1306874763
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1487076790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 PAPILLION PARKWAY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544651",
"telephone_number": "402-670-8785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 PAPILLION PKY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544651",
"telephone_number": "402-934-7500",
"fax_number": "402-934-7560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNF OMAHA OPERATING COMPANY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-07",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "503-542-2253"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Old Mill Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Old Mill Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.