Ravenscroft Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RAVENSCROFT HEALTHCARE LLC

Doing business as

Skyview Villa Assisted Living

Practice address

210 Harris Dr
Norfolk, NE 68701-3500

Phone

(402) 371-5269

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Skyview Villa Assisted Living Doing business as

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

CLIA laboratory certificates

Tax ID family

Ravenscroft Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ravenscroft Healthcare LLC

  • Skilled Nursing Facility
  • Norfolk, NE
  • NPI 1164253373
  NPD tax ID

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1649001827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HARRIS DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HARRIS DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013500",
            "telephone_number": "402-371-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENSCROFT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyview Villa Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Rasmussen
• Kathlene Rebecca Rasmussen, APRN-NP-C
• Rachel Rasmussen
• Tamara Rasmussen
• Ravenscroft Healthcare LLC
• Cassandra Rayback
• Ingrid Raymundo
• Alex Razee
• Re-Play Counseling, LLC
• Isabelle R Reams

• Assisted Living Facility in Norfolk, NE
• Providers in Norfolk, 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 Sep 30, 2024; 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.