SSC Fremont Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

254002 Issued in NE

Legal business name

SSC FREMONT OPERATING COMPANY LLC

Practice address

2550 N Nye Ave
Fremont, NE 68025-2242

Phone

(402) 727-1710

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Kelle C Santoro

Title

Sr Director Ar

Phone

(832) 467-5728

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arbor Manor Doing business as

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1487775052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N NYE AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252242",
            "telephone_number": "402-727-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC FREMONT OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR AR",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "254002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252449-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Rose Spaulding
• Pamela Jane Spevak, BS EDUCATION
• Darren Jon Splonskowski, M.D.
• Haley Sue Sporven, MA, PLMHP
• Christine Elizabeth Spreeman, PT
• Meghan Marie Smith Stack, ED.S., NCSP
• Crystal Stadt
• Aaron Stalets, RPH
• Bethany Stamm
• Kylee Victoria Stanley, M.D.

• Skilled Nursing Facility in Fremont, NE
• Providers in Fremont, 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 Apr 13, 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.