Nye Meadows, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

NYE MEADOWS, INC.

Practice address

500 S 18TH St
Norfolk, NE 68701-4543

Phone

(402) 371-1730

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Russell Peterson Jr.

Title

Ceo

Phone

(402) 753-1400

Specialties & licenses 1

Addresses

Other names 1

• The Meadows Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Tax ID family

Nye Meadows Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nye Meadows Inc

  • Assisted Living Facility
  • Norfolk, NE
  • NPI 1437581154
  NPD tax ID

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1508304635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N SOMERS AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 18TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014543",
            "telephone_number": "402-371-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYE MEADOWS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-753-1400",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meadows Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsie Victoria Nutsch, NP-C
• Roger Wayne Nutt, M.D.
• Halli Nuttelmann
• Nuwest Medical Clinic, L.L.C
• Nye Meadows Inc
• Mary Bernadette O'Boyle
• Ryan O'Connell
• Ethan James Oaks
• Oasis Counseling International
• Janet Leigh Oberhauser, PA-C

• Public Health or Welfare Agency in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Public Health or Welfare Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.