NPIMap

Organization Active NPI

Matelyn Retirement Community

  • Assisted Living Facility
  • Saint Paul, NE
National Provider Identifier
1740573294
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF236 Issued in NE
Legal business name
MATELYN RETIREMENT COMMUNITY
Practice address
602 O St
Saint Paul, NE 68873-1200
Phone
(308) 754-6022
Fax
(308) 754-9126
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Mrs. Kathleen M Schroeder, LPN
Title
Executive Director
Phone
(308) 754-6022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF236 NE Primary

Addresses

Primary practice location

602 O St
Saint Paul, NE 68873-1200

Mailing address

602 O St
Saint Paul, NE 68873-1200
Phone (308) 754-6022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1740573294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 O ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688731200",
            "telephone_number": "308-754-6022",
            "fax_number": "308-754-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 O ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688731200",
            "telephone_number": "308-754-6022",
            "fax_number": "308-754-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATELYN RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "308-754-6022",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.