Active NPI
City of Mitchell
- Skilled Nursing Facility
- Mitchell, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 704003
- Legal business name
- CITY OF MITCHELL
- Practice address
- 1723 23Rd St
Mitchell, NE 69357 - Phone
- (308) 623-1212
- Fax
- (308) 623-2052
- NPI assigned
- Feb 1, 2007
- Organization subpart
- Yes
- Parent organization
- CITY OF MITCHELL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stephanie June Hahn
- Title
- Administrator
- Phone
- (308) 623-1212
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALF266 | NE | |
| Skilled Nursing Facility | 314000000X | 704003 | NE | Primary |
Addresses
Primary practice location
1723 23Rd St
Mitchell, NE 69357
Mailing address
1723 23Rd St
Mitchell, NE 69357-1000
Phone (308) 623-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28E246 | Medicaid | NE |
Other names 2
- City of Mitchell DBA Mitchell Care Center
- Mitchell Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131217000710 | NE | Part A Provider - Skilled Nursing Facility | 6103085873 | Practice locations: Mitchell, NE |
Skilled nursing facility certification: CCN 285287
- Legal name
- CITY OF MITCHELL
- Doing business as
- MITCHELL CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 2014
- Last certification
- Aug 13, 2024
- Beds
- 50
- Ownership / control type
- City/County
- Organization structure
- Government
- Enrollment address
- 1723 23Rd St
Mitchell, NE 69357-1000 - Nursing home name
- MITCHELL CARE CENTER
- Affiliated entity
- RURAL HEALTH DEVELOPMENT
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mitchell Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City/county
- Certified
- Feb 1, 2014
- Medicare certification status
- Active
- Certified beds
- 50
- Chain
- Rural Health Development
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0858037 | Mitchell Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- City of Mitchell
- Part of
- City of Mitchell
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Mitchell, NE
- NPI 1669449781
Locations
1280 Center Ave
Mitchell, NE 69357
1145 Center Ave
Mitchell, NE 69357
Phone (308) 623-1523
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephanie J Hahn | Contracted Managing Employee | Mar 1, 2013 | 100% |
| Corporate Officer | Mar 1, 2016 | 10% | |
| Dave Curtis | Corporate Director | Dec 6, 2016 | 20% |
| Crystal Wickham | W-2 Managing Employee | Aug 1, 2017 | 10% |
| City of Mitchell | 5% Or Greater Direct Ownership Interest | Feb 4, 1992 | 100% |
| Tim Schneider | Corporate Director | Dec 6, 2016 | 20% |
| Rural Health Development Inc. | Operational/Managerial Control | Feb 1, 2014 | 100% |
| Brian Taylor | Corporate Director | Nov 1, 2013 | 20% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Verdigre, NE
- NPI 1083602833
Rural Health Development Inc.
-
- Skilled Nursing Facility
- Bertrand, NE
- NPI 1659412047
Rural Health Development Inc.
-
- Skilled Nursing Facility
- Humboldt, NE
- NPI 1285719989
Rural Health Development Inc.
-
- Skilled Nursing Facility
- David City, NE
- NPI 1104823046
Rural Health Development Inc.
-
- Skilled Nursing Facility
- Stuart, NE
- NPI 1659337475
Rural Health Development Inc.
-
- Skilled Nursing Facility
- Wilber, NE
- NPI 1417973710
Rural Health Development Inc.
-
- Critical Access Hospital
- Johnson, KS
- NPI 1871695973
Rural Health Development Inc.
-
- Skilled Nursing Facility
- Selby, SD
- NPI 1619445152
Rural Health Development Inc.
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ambulance
- Mitchell, NE
- NPI 1669449781
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1023025533
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Gering, NE
- NPI 1689803686
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532476800000",
"number": "1689712952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 23RD ST",
"city": "MITCHELL",
"state": "NE",
"postal_code": "693571000",
"telephone_number": "308-623-1212",
"fax_number": "308-623-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 23RD ST",
"city": "MITCHELL",
"state": "NE",
"postal_code": "69357",
"telephone_number": "308-623-1212",
"fax_number": "308-623-2052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MITCHELL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF MITCHELL",
"enumeration_date": "2007-02-01",
"last_updated": "2018-07-25",
"status": "A",
"authorized_official_last_name": "HAHN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "JUNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "308-623-1212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NE",
"license": "ALF266",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "704003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28E246",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Mitchell DBA Mitchell Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mitchell Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mitchell Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mitchell, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.