NPIMap

Organization Active NPI

Golden Living Center-Neligh

  • Skilled Nursing Facility
  • Niobrara, NE
National Provider Identifier
1558641787
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1723 Issued in NE
Legal business name
GOLDEN LIVING CENTER-NELIGH
Practice address
16 Cottonwood Dr
Box 37
Niobrara, NE 68760-6083
Phone
(402) 649-2065
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Ms. Natalie Moody Wragge, PT
Title
MPT
Phone
(402) 649-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1723 NE Primary

Addresses

Primary practice location

16 Cottonwood Dr
Box 37
Niobrara, NE 68760-6083

Mailing address

16 Cottonwood Drive
P O Box 37
Niobrara, NE 68760
Phone (402) 649-2065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1558641787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COTTONWOOD DRIVE",
            "address_2": "P O BOX 37",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "68760",
            "telephone_number": "402-649-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COTTONWOOD DR",
            "address_2": "BOX 37",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687606083",
            "telephone_number": "402-649-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIVING CENTER-NELIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "WRAGGE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "MOODY",
        "authorized_official_title_or_position": "MPT",
        "authorized_official_telephone_number": "402-649-2065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "1723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niobrara, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.