NPIMap

Organization Active NPI

State of Nebraska Dept of Admin Services

Doing business as Eastern Nebraska Veterans Homes

  • Skilled Nursing Facility
  • Bellevue, NE
National Provider Identifier
1740387943
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
264018 Issued in NE
Legal business name
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Doing business as
Eastern Nebraska Veterans Homes
Practice address
12505 S 40TH St
Bellevue, NE 68123-1868
Phone
(402) 595-2180
Fax
(402) 591-4880
NPI assigned
Sep 20, 2006
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Mr. John A. Hilgert
Title
Veterans Home Administrator
Phone
(402) 471-7762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 264018 NE Primary

Addresses

Primary practice location

12505 S 40TH St
Bellevue, NE 68123-1868

Mailing address

301 Centennial Mall S
PO Box 98936
Lincoln, NE 68508-2529
Phone (402) 471-9447

Other names 1

  • Eastern Nebraska Veterans Homes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001011 NE Part B Supplier - Clinic/Group Practice 0648180828 Receives reassigned benefits from 28 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beatrice, NE; Bellevue, NE; Kearney, NE; Lincoln, NE; Norfolk, NE; Scottsbluff, NE

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nebraska Health Systems27 organizations share this tax ID, including this one
Part of
Nebraska Health Systems

Other organizations with this tax ID 26

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

View all 26

Locations

301 Centennial Mall S
Lincoln, NE 68508
Phone (402) 471-2115

Practitioners & affiliated clinicians

Practitioners 4

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1740387943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CENTENNIAL MALL S",
            "address_2": "PO BOX 98936",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082529",
            "telephone_number": "402-471-9447",
            "fax_number": "402-471-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 S 40TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231868",
            "telephone_number": "402-595-2180",
            "fax_number": "402-591-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "HILGERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VETERANS HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "402-471-7762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "264018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Nebraska Veterans Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.