Immanuel Retirement Communities

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF088 Issued in NE

Legal business name

IMMANUEL RETIREMENT COMMUNITIES

Practice address

522 W Lincoln St
Papillion, NE 68046-3121

Phone

(402) 614-5500

Fax

(402) 614-5503

NPI assigned

Sep 15, 2011

Organization subpart

Yes

Parent organization

IMMANUEL RETIREMENT COMMUNITIES, INC.As reported in NPPES

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

Authorized official

Name

Eric Gurley

Title

President

Phone

(402) 829-2943

Specialties & licenses 1

Addresses

Other names 1

• Assisted Living at Trinity Village Doing business as

Tax ID family

Immanuel Personal Response System2 organizations share this tax ID, including this one

Part of

Immanuel Personal Response System

Other organizations with this tax ID 1

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

• Immanuel Personal Response System

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1154511988
  NPD tax ID

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1528340528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 N 115TH ST",
            "address_2": "SUITE 500",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544425",
            "telephone_number": "402-829-2943",
            "fax_number": "402-829-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W LINCOLN ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463121",
            "telephone_number": "402-614-5500",
            "fax_number": "402-614-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL RETIREMENT COMMUNITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMMANUEL RETIREMENT COMMUNITIES, INC.",
        "enumeration_date": "2011-09-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-829-2943"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Living at Trinity Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Lynn Hussey
• Stacey Huston
• Timothy K. Huyck, M.D.
• Hy-Vee Inc
• Nicole Iliff
• Nadarria Inge
• Haylee Morgan Ingham
• Makayla Ingram
• Dan Innes
• Inspire Your Why Company

• Assisted Living Facility in Papillion, NE
• Providers in Papillion, 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 Nov 29, 2023; 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.