Compassionate Memory Care 2, Inc

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

ALF330 Issued in NE

Legal business name

COMPASSIONATE MEMORY CARE 2, INC

Practice address

407 S 86TH St
Omaha, NE 68114-4250

Phone

(402) 614-7446

Fax

(402) 614-7960

NPI assigned

Apr 17, 2018

Last updated

Apr 17, 2018By 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

Mr. Keith Charles Ross

Title

Treasurer

Phone

(402) 650-5089

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1629565452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 DAYTON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375373",
            "telephone_number": "402-650-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S 86TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144250",
            "telephone_number": "402-614-7446",
            "fax_number": "402-614-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE MEMORY CARE 2, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "402-650-5089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NE",
            "license": "ALF330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alzheimer Center (Dementia Center) in Omaha, NE
• Providers in Omaha, NE by specialty
• Alzheimer Center (Dementia Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.

Verify at the official NPI Registry.