The Waterford Memory Care South 27TH, Inc.

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

ALF344 Issued in NE

Legal business name

THE WATERFORD MEMORY CARE SOUTH 27TH, INC.

Doing business as

The Waterford at Wilderness Hills

Practice address

8939 Keystone Dr
Lincoln, NE 68516-4127

Phone

(402) 421-8105

Fax

(402) 421-8106

NPI assigned

Dec 13, 2012

Last updated

Dec 13, 2012By 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

Mr. Dan A. Klein Sr.

Title

Owner

Phone

(402) 435-3550

Specialties & licenses 1

Addresses

Other names 1

• The Waterford at Wilderness Hills 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

Locations

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.

• Frank John Rizzo, DPM

  • Podiatrist
  • Lincoln, NE
  • NPI 1750483012
  NPD (past)

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1730425059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SW 5TH ST",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221754",
            "telephone_number": "402-435-3550",
            "fax_number": "402-435-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 KEYSTONE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164127",
            "telephone_number": "402-421-8105",
            "fax_number": "402-421-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATERFORD MEMORY CARE SOUTH 27TH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-435-3550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NE",
            "license": "ALF344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waterford at Wilderness Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Recovery Center
• The Relaxation Corporation PC (Via Medical Massage)
• The Tin Bucket Incorporated (Synergy HomeCare of Lincoln)
• The Waterford Care Facility at College View
• The Waterford Group, Inc.
• The Wellbeing Initiative, LLC (The Orchard)
• The Wellness Center, P.C.
• Reba Theas
• Marjorie Theel
• Luke Theimer

• Alzheimer Center (Dementia Center) in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Alzheimer Center (Dementia Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.