NPIMap

Organization Active NPI

Exeter Care Center LLC

Doing business as Exeter Care Center

  • Skilled Nursing Facility
  • Exeter, NE
National Provider Identifier
1689989295
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
284001 Issued in NE
Legal business name
EXETER CARE CENTER LLC
Doing business as
Exeter Care Center
Practice address
425 South Empire Avenue
Box 59
Exeter, NE 68351-4104
Phone
(402) 266-4501
Fax
(402) 266-4591
NPI assigned
Aug 9, 2010
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Garett R Robertson
Title
Ceo
Phone
(801) 296-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 284001 NE Primary

Addresses

Primary practice location

425 South Empire Avenue
Box 59
Exeter, NE 68351-4104

Mailing address

425 S Empire Ave
Exeter, NE 68351-4104
Phone (402) 266-4501

Other names 1

  • Exeter Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1689989295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S EMPIRE AVE",
            "city": "EXETER",
            "state": "NE",
            "postal_code": "683514104",
            "telephone_number": "402-266-4501",
            "fax_number": "402-266-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SOUTH EMPIRE AVENUE",
            "address_2": "BOX 59",
            "city": "EXETER",
            "state": "NE",
            "postal_code": "683514104",
            "telephone_number": "402-266-4501",
            "fax_number": "402-266-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXETER CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARETT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "284001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exeter Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exeter, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.