Garden Square LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF063 Issued in NE

Legal business name

GARDEN SQUARE LLC

Practice address

1405 Hickory Ave
Crete, NE 68333-1955

Phone

(402) 826-2241

Fax

(402) 826-2775

NPI assigned

Apr 10, 2007

Last updated

Jun 24, 2008By 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

Mrs. Kimberly A Sasek

Title

Administrator

Phone

(402) 826-2241

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1487877510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HICKORY AVE",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683331955",
            "telephone_number": "402-826-2241",
            "fax_number": "402-826-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HICKORY AVE",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683331955",
            "telephone_number": "402-826-2241",
            "fax_number": "402-826-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN SQUARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SASEK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-826-2241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025201000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid R Flores
• Ramiro A Fonseca Sanchez
• Ana Cristina Lopez Franco
• Kenia Garcia Mancilla
• Mayra A Garcia
• Walter E Gardner, MD
• Donna Garrison
• Cassandra Ginapp, ED.S.
• Marisol Gomez
• Roxana Gomez

• Assisted Living Facility in Crete, NE
• Providers in Crete, 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 Jun 24, 2008; 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.