Active NPI
Legacy Estates Management, LP
- Assisted Living Facility
- Lincoln, NE
National Provider Identifier
1548564552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALF282
- Legal business name
- LEGACY ESTATES MANAGEMENT, LP
- Practice address
- 7200 Van Dorn St
Lincoln, NE 68506-3716 - Phone
- (402) 484-8888
- Fax
- (402) 484-3859
- NPI assigned
- Jan 5, 2011
- Last updated
- Jan 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay Bohlken
- Title
- Executive Director
- Phone
- (402) 484-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALF282 | NE | Primary |
Addresses
Primary practice location
7200 Van Dorn St
Lincoln, NE 68506-3716
Mailing address
7200 Van Dorn St
Lincoln, NE 68506-3716
Phone (402) 484-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025084200 | Medicaid | NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D1020744 | Legacy Estates | Certificate of waiver | Dec 30, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294185600000",
"number": "1548564552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 VAN DORN ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063716",
"telephone_number": "402-484-8888",
"fax_number": "402-484-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 VAN DORN ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063716",
"telephone_number": "402-484-8888",
"fax_number": "402-484-3859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY ESTATES MANAGEMENT, LP",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A",
"authorized_official_last_name": "BOHLKEN",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "402-484-8888",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NE",
"license": "ALF282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025084200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.