Lindahl Healthcare, Inc.
Organization Active NPI Skilled Nursing Facility · Wayne, NE
NPI 1740574284 · NPPES record last updated Feb 23, 2021
Key facts
- NPI
- 1740574284
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LINDAHL HEALTHCARE, INC.
- Practice address
- 811 E 14TH St
Wayne, NE 68787-1216 - Phone
- (402) 375-1922
- Fax
- (402) 375-1923
- NPI assigned
- Jun 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Ms. Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Owners & managing parties with NPI records 1
-
Melissa Dobbins, D.O.
Facilities with the same owner 60
Practitioners 3
-
Melissa Dobbins, D.O.
Affiliated clinicians 7
-
Melissa Dobbins, D.O.
-
Ross Stewart Hansen, P.A.C
-
Samuel J. Recob, M.D.
-
Gary West, PA
Medicare Care Compare: Nursing home
- Listed as
- Wayne Countryview Care and Rehabilitation
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 15, 1994
- Medicare certification status
- Active
- Certified beds
- 60 · 43.8 residents per day on average
- Chain
- The Ensign Group
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0455709 | Wayne Countryview Care and Rehabilitation | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Skilled nursing facility certification: CCN 285135
- Legal name
- LINDAHL HEALTHCARE, INC.
- Doing business as
- WAYNE COUNTRYVIEW CARE AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 15, 1994
- Last certification
- Oct 16, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 811 E 14TH St
Wayne, NE 68787-1216 - Nursing home name
- WAYNE COUNTRYVIEW CARE AND REHABILITATION
- Affiliated entity
- THE ENSIGN GROUP
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Onshift Inc |
Operational/Managerial Control | Jul 18, 2011 | |
| The Ensign Group Inc |
5% Or Greater Indirect Ownership Interest | Jan 30, 2006 | 100% |
| Helping Hands Nursing Solution Inc |
Operational/Managerial Control | Jul 18, 2011 | |
| Ensign Services Inc |
Adp of the SNF | Jun 1, 2011 | |
| Twomagnets LLC |
Operational/Managerial Control | Jul 18, 2011 | |
| Ami Sato |
Corporate Officer |
Sep 9, 2024 | |
| Melissa S Dobbins |
Operational/Managerial Control | Mar 1, 2017 | |
| Managing Control - Governing Body |
Mar 1, 2017 | ||
| Adp of the SNF | Jul 9, 2025 | ||
| Wayne Health Holdings LLC |
Adp of the SNF | Jul 18, 2011 | |
| Ctr Partnership LP |
Adp of the SNF | Jul 18, 2011 | |
| David Jorgensen |
Corporate Director |
Jan 1, 2024 | |
| Gateway Healthcare LLC |
5% Or Greater Direct Ownership Interest | Jul 18, 2011 | 100% |
| Caretrust GP LLC |
Adp of the SNF | Jul 18, 2011 | |
| Caretrust Reit Inc |
Adp of the SNF | Jul 18, 2011 | |
| Chad Keetch |
Corporate Officer |
Mar 1, 2011 | |
| Tara Helenthal |
Corporate Officer |
Jul 8, 2018 | |
| Operational/Managerial Control |
Jul 8, 2018 | ||
| Managing Control - Governing Body |
Jul 8, 2018 | ||
| Adp of the SNF | Jul 9, 2025 | ||
| Soon Burnam |
Corporate Officer |
Jul 18, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110713000699 | NE | Part a Provider - Skilled Nursing Facility | 1557539756 | Practice locations: Wayne, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NE | ||
| Skilled Nursing Facility | 314000000X | NE | Yes |
Addresses
Primary practice location
811 E 14TH St
Wayne, NE 68787-1216
Mailing address
811 E 14TH St
Wayne, NE 68787-1216
Phone (402) 375-1922
Other names
- Careage Campus of Care
- Wayne Countryview Care and Rehabilitation
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Wayne, NE
- Lindsay Ryann Kvols
- Brittany Lambert
- Madilyn Lange
- Aaron Lemon
- Hannah Joyce Lewison
- James A. Lindau
- Shelby Lee Loberg
- Katrina Lombard
- Jared Ludwig
- Todd Luedeke
All providers in Wayne, NE · Skilled Nursing Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.