Marquis Place of Elkhorn LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF220 Issued in NE

Legal business name

MARQUIS PLACE OF ELKHORN LLC

Practice address

20800 W Maple Rd
Elkhorn, NE 68022-5108

Phone

(402) 289-9229

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian Warren

Title

President Owner

Phone

(316) 733-1144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1508075029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 W MAPLE RD",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225108",
            "telephone_number": "402-289-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 W MAPLE RD",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225108",
            "telephone_number": "402-289-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS PLACE OF ELKHORN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "316-733-1144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Roseann Maliszewski
• Anthony Robert Mann, PA-C
• Mark Nielsen DDS, PC
• Mark Panneton DDS PC (Panneton Dental Group)
• Claire Markham, M.D.
• Peggy Kim Mart
• Thomas E Martin, M.D.
• Brittany Martinez
• Leslie Jean Martinson
• Eric C Mason, LCSW, LIMHP

• Assisted Living Facility in Elkhorn, NE
• Providers in Elkhorn, 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 Jul 27, 2007; 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.