1500 East 11TH St NE Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

1500 EAST 11TH ST NE OPCO LLC

Practice address

1500 E 11TH St
MC Cook, NE 69001-3417

Phone

(316) 239-6662

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Laura Gamble

Title

Senior Account Manager

Phone

(316) 239-6662

Specialties & licenses 1

Addresses

Other names 1

• KINSHIP POINTE AT MCCOOK Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1720895253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S BROADWAY AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024300",
            "telephone_number": "316-239-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 11TH ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013417",
            "telephone_number": "316-239-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1500 EAST 11TH ST NE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SENIOR ACCOUNT MANAGER",
        "authorized_official_telephone_number": "316-239-6662"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINSHIP POINTE AT MCCOOK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KINSHIP POINTE AT MCCOOK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 308 Chiropractic Inc
• Ericka Kay Adkins
• James M Allen, PA-C
• George Allison
• Ambience Counseling Center, LLC

• All providers in MC Cook, NE
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.