VSL Hooper LLC – Skilled Nursing Facility

Key facts

NPI: 1609306299
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
License: 254004 (NE)
Legal business name: VSL HOOPER LLC
Practice address: 400 E Birchwood Dr
Hooper, NE 68031-3002
Phone: (402) 654-3362
Fax: (402) 654-2570
NPI assigned: Jun 15, 2017
Organization subpart: No

Authorized official

Name: Jack D Vetter
Title: Ceo
Phone: (402) 895-3932

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	254004	NE	Yes

Addresses

Primary practice location

400 E Birchwood Dr
Hooper, NE 68031-3002

Mailing address

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

Other identifiers

Identifier	Type	State	Issuer
254004	Other	NE	FACILITY LICENSE

Other names

Hooper Care Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2017.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1609306299",
    "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": "400 E BIRCHWOOD DR",
            "city": "HOOPER",
            "state": "NE",
            "postal_code": "680313002",
            "telephone_number": "402-654-3362",
            "fax_number": "402-654-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSL HOOPER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "254004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "254004",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hooper Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hooper Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hooper, NE

All providers in Hooper, NE · Skilled Nursing Facility in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.