Arbor Care Centers - Fullerton LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ARBOR CARE CENTERS - FULLERTON LLC

Practice address

202 N Esther St
Fullerton, NE 68638-3029

Phone

(308) 536-2488

NPI assigned

Jul 10, 2019

Last updated

Aug 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth W Klaasmeyer

Title

President

Phone

(402) 525-1251

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

CLIA laboratory certificates

Practitioners 3

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.

• Brian Keith Buhlke, D.O.

  • Family Medicine Physician
  • Central City, NE
  • NPI 1598870255
  NPD (past)
• Jessica Monico Klaasmeyer, APRN

  • Nurse Practitioner
  • Elkhorn, NE
  • NPI 1801566641
  NPD (past)
• Sean R. Kohl, MD

  • Family Medicine Physician
  • Albion, NE
  • NPI 1629068325
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1720630635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N ESTHER ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383029",
            "telephone_number": "308-536-2488",
            "fax_number": "308-536-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N ESTHER ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383029",
            "telephone_number": "308-536-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR CARE CENTERS - FULLERTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "KLAASMEYER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-525-1251"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edfullerton@arborcarecenter.com",
            "affiliation": "N",
            "address_1": "202 N Esther St",
            "city": "Fullerton",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686383029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Accura Healthcare of Fullerton, LLC (Accura Healthcare of Fullerton)
• Olivia M Anderson
• Nikki Bauer
• Vickie J Boettcher
• Boone County Health Center (Nance County Medical Clinic)
• Serina Bowen, RN, BSN, M.ED, ATC
• Andrew Brugman I, D.C.

• Skilled Nursing Facility in Fullerton, NE
• Providers in Fullerton, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.