NPIMap

Organization Active NPI

VSL Fairbury LLC

  • Skilled Nursing Facility
  • Fairbury, NE
National Provider Identifier
1558891796
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
44001 Issued in NE
Legal business name
VSL FAIRBURY LLC
Practice address
909 17TH St
Fairbury, NE 68352-1215
Phone
(402) 729-2289
Fax
(402) 729-5233
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Jack D Vetter
Title
Chairman of the Board
Phone
(402) 895-3932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 44001 NE Primary

Addresses

Primary practice location

909 17TH St
Fairbury, NE 68352-1215

Mailing address

20220 Harney St
Elkhorn, NE 68022-2063
Phone (402) 885-6120

Other identifiers 1

IdentifierTypeStateIssuer
44001OtherNEFACILITY LICENSE

Other names 1

  • Heritage Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170830002205 NE Part A Provider - Skilled Nursing Facility 7810260668 Practice locations: Fairbury, NE

Skilled nursing facility certification: CCN 285262

Legal name
VSL FAIRBURY LLC
Doing business as
HERITAGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 2004
Last certification
May 2, 2024
Beds
100
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Vetter Senior Living
Organization structure
LLCNon-profit
Enrollment address
909 17TH St
Fairbury, NE 68352-1215
Nursing home name
HERITAGE CARE CENTER
Affiliated entity
VETTER SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Care CenterCCN 285262
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10047.9 residents per day on average
Chain
Vetter Senior Living22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rebecca a Stroklund Individual Contracted Managing EmployeeMedical Director Aug 20, 2021
Operational/Managerial ControlMedical Director Aug 20, 2021
Aaron J Dunlap Individual OtherChain Home Office Administrator Jul 1, 2017
Glenn a Vanekeren Individual Contracted Managing EmployeePresident Jul 1, 2017
Corporate OfficerPresident Jun 15, 2017
Operational/Managerial ControlPresident Jul 1, 2017
Jack D Vetter Individual Contracted Managing EmployeeChairman & Ceo Jul 1, 2017
Corporate OfficerChairman & Ceo Jun 15, 2017
Operational/Managerial ControlChairman & Ceo Jul 1, 2017
Brian W Stuhr Individual Contracted Managing EmployeeTreasurer Jul 1, 2017
Corporate OfficerTreasurer Jun 15, 2017
Operational/Managerial ControlTreasurer Jul 1, 2017
Vetter Senior Living Organization, Elkhorn, NE Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 23, 2016 100%
Operational/Managerial Control Dec 23, 2016
Martina Sloane Individual Contracted Managing EmployeeAdministrator Aug 21, 2017
Operational/Managerial ControlAdministrator Aug 21, 2017
VSL Vetter Health Services LLC Organization, Elkhorn, NE LLC, Management services company, Non-profit Operational/Managerial Control Jul 1, 2017
Eldora D Vetter Individual Contracted Managing EmployeeSecretary Jul 1, 2017
Corporate OfficerSecretary Jun 15, 2017
Operational/Managerial ControlSecretary Jul 1, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 28

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 28

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1558891796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20220 HARNEY ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222063",
            "telephone_number": "402-885-6120",
            "fax_number": "402-895-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 17TH ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683521215",
            "telephone_number": "402-729-2289",
            "fax_number": "402-729-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSL FAIRBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "44001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "44001",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heritage Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbury, NE

Sources for this page

Verify at the official NPI Registry.