Organization Active NPI

Prairie Health Ventures LLC

  • Case Management Agency
  • Lincoln, NE
National Provider Identifier
1669145512
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PRAIRIE HEALTH VENTURES LLC
Practice address
575 Fallbrook Blvd Ste 204
Lincoln, NE 68521-9040
Phone
(402) 742-2202
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Mr. Rodney G. Triplett
Title
Ceo
Phone
(402) 742-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

575 Fallbrook Blvd Ste 204
Lincoln, NE 68521-9040

Mailing address

575 Fallbrook Blvd Ste 204
Lincoln, NE 68521-9040
Phone (402) 742-2202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1669145512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 FALLBROOK BLVD STE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219040",
            "telephone_number": "402-742-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 FALLBROOK BLVD STE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219040",
            "telephone_number": "402-742-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HEALTH VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-742-2202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.