NPIMap

Organization Active NPI

City of Genoa

  • Nursing Facility/Intermediate Care Facility
  • Genoa, NE
National Provider Identifier
1710275060
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
554002 Issued in NE
Legal business name
CITY OF GENOA
Practice address
706 Ewing Avenue
Genoa, NE 68640-3035
Phone
(402) 993-2283
Fax
(402) 993-2373
NPI assigned
Jul 20, 2011
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Amanda Roebuck
Title
Ceo
Phone
(402) 993-4583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 554002 NE Primary

Addresses

Primary practice location

706 Ewing Avenue
Genoa, NE 68640-3035

Mailing address

PO Box 310
Genoa, NE 68640-0310
Phone (402) 993-2283

Other names 1

  • Genoa Community Hospital/LTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Park Street Medical CLN7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1710275060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "GENOA",
            "state": "NE",
            "postal_code": "686400310",
            "telephone_number": "402-993-2283",
            "fax_number": "402-993-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 EWING AVENUE",
            "city": "GENOA",
            "state": "NE",
            "postal_code": "686403035",
            "telephone_number": "402-993-2283",
            "fax_number": "402-993-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GENOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "ROEBUCK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-993-4583"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "554002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genoa Community Hospital/LTC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Genoa Community Hospital/LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Genoa, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.