Organization Active NPI

Quality Senior Villages

  • Clinic/Center
  • Broken Bow, NE
National Provider Identifier
1730571837
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ALF359 Issued in NE
Legal business name
QUALITY SENIOR VILLAGES
Practice address
715 Arapahoe Lane
Broken Bow, NE 68822
Phone
(308) 872-6387
Fax
(308) 872-8399
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Jeanette Denson
Title
Administrator
Phone
(308) 872-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ALF359 NE Primary

Addresses

Primary practice location

715 Arapahoe Lane
Broken Bow, NE 68822

Mailing address

715 Arapahoe Lane
Broken Bow, NE 68822-2633
Phone (308) 872-6387

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2209740Quality Senior Villages Inc715 Arapahoe Lane, Broken Bow, NE 68822Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory

Locations

715 Arapahoe Ln
Broken Bow, NE 68822
Phone (308) 872-6387

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1730571837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ARAPAHOE LANE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222633",
            "telephone_number": "308-872-6387",
            "fax_number": "308-872-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ARAPAHOE LANE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "68822",
            "telephone_number": "308-872-6387",
            "fax_number": "308-872-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY SENIOR VILLAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "DENSON",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-872-6387"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "ALF359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.