Liberty House Wahoo

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF 298 Issued in NE

Legal business name

LIBERTY HOUSE WAHOO

Practice address

1145 N Laurel St
Wahoo, NE 68066-1244

Phone

(402) 443-5505

NPI assigned

Aug 23, 2011

Last updated

Aug 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Pinkerton

Title

Owner

Phone

(308) 530-2688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorothy I. Rice

  • Chore Provider
  • North Platte, NE
  • NPI 1366247967
  NPD

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1609156520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044101",
            "telephone_number": "402-681-5018",
            "fax_number": "402-558-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 N LAUREL ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661244",
            "telephone_number": "402-443-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOUSE WAHOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "PINKERTON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-530-2688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF 298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025480800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Mary Kastl, PTA
• Peggy S Kavan
• Cortney Kleffner, OT
• Nathan L. Kotera, PA-C
• Elizabeth Lacy
• Lincoln Vision Center PC (Wahoo Vision Center)
• Joan Lindgren
• Jana L Lindstrom
• Michelle Lynn Maass, MS CCC-SLP
• Wendy Mach

• Assisted Living Facility in Wahoo, NE
• Providers in Wahoo, 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 Aug 23, 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.