NPIMap

Organization Active NPI

Fremont Care Center Inc

Doing business as Nye Legacy Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Fremont, NE
National Provider Identifier
1700037926
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FREMONT CARE CENTER INC
Doing business as
Nye Legacy Health & Rehabilitation Center
Practice address
3210 North Clarkson
Fremont, NE 68025
Phone
(402) 721-9330
Fax
(402) 753-4800
NPI assigned
Oct 7, 2008
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FREMONT CARE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Jason Harnisch
Title
Controller
Phone
(402) 753-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3210 North Clarkson
Fremont, NE 68025

Mailing address

3210 North Clarkson
Fremont, NE 68025
Phone (402) 721-9300

Other names 1

  • Nye Legacy Health & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090113000715 NE Part A Provider - Skilled Nursing Facility 0941274963 Practice locations: Fremont, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700037926. Details of each certification follow.

Skilled nursing facility certification: CCN 285278

Legal name
FREMONT CARE CENTER INC
Doing business as
NYE LEGACY HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 10, 2008
Last certification
May 14, 2024
Beds
100
Ownership / control type
Corporation
Multi-facility organization
Nye Health Services
Organization structure
CorporationProprietary
Incorporated
Jul 1, 1998 in NE
Enrollment address
3210 N Clarkson
Fremont, NE 68025-2301
Nursing home name
NYE LEGACY HEALTH & REHABILITATION CENTER

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
Nye Legacy Health & Rehabilitation CenterCCN 285278 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 10, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10084.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1087208Nye Legacy Health & Rehabilitation3210 N Clarkson Street, Fremont, NE 68025Certificate of waiverJul 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fremont Care Center Inc2 organizations share this tax ID, including this one
Part of
Fremont Care Center Inc

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Kirk Sweeney Individual W-2 Managing EmployeeExecutive Director Apr 1, 2018
Paragon Management Services Inc Organization, Fremont, NE Corporation Operational/Managerial Control Jul 1, 1998
Jennifer Jo Peterson Individual 5% Or Greater Direct Ownership Interest Oct 1, 2008 50%
Russell Vernon Peterson Individual 5% Or Greater Direct Ownership InterestCeo Oct 1, 2008 50%

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1700037926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 NORTH CLARKSON",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-721-9300",
            "fax_number": "402-753-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 NORTH CLARKSON",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-721-9330",
            "fax_number": "402-753-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT CARE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREMONT CARE CENTER INC",
        "enumeration_date": "2008-10-07",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "HARNISCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "402-753-6101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nye Legacy Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nye Legacy Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.