Gca Kearney Operations

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GCA KEARNEY OPERATIONS

Doing business as

Broadwell Kearney Senior Living

Practice address

617 22ND Ave
Kearney, NE 68845-2368

Phone

(308) 856-2100

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Steven Bae

Title

VP of Org Development

Phone

(503) 675-3925

Specialties & licenses 1

Addresses

Other names 1

• Broadwell Kearney Senior Living Doing business as

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1700561016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 1ST ST STE 104",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343273",
            "telephone_number": "971-804-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 22ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452368",
            "telephone_number": "308-856-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCA KEARNEY OPERATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP OF ORG DEVELOPMENT",
        "authorized_official_telephone_number": "503-675-3925"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadwell Kearney Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Potter Counseling LLC
• Camilla Paulette Garza
• Samantha Tenille Gaston
• Nathaniel Alan Gaunt, D.C.
• John Gauthier
• Alyssa Karlen Geisert
• Cortney A. Geisler, FNP-C
• Kaiti George, RD, LMNT
• Sean George
• Trista George

• Assisted Living Facility in Kearney, NE
• Providers in Kearney, 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 Oct 9, 2023; 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.