Active NPI
Fremont Health
Doing business as Dunklau Gardens
- Skilled Nursing Facility
- Fremont, NE
National Provider Identifier
1750320859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- LTCH011
- Legal business name
- FREMONT HEALTH
- Doing business as
- Dunklau Gardens
- Practice address
- 450 E 23Rd St
Fremont, NE 68025-2387 - Phone
- (402) 727-3795
- Fax
- (402) 727-3333
- NPI assigned
- Jun 5, 2006
- Organization subpart
- Yes
- Parent organization
- FREMONT HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick M Booth
- Title
- President/Ceo
- Phone
- (402) 721-1610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | LTCH011 | NE | Primary |
Addresses
Primary practice location
450 E 23Rd St
Fremont, NE 68025-2387
Mailing address
450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00251 | Other | NE | BLUE CROSS BLUE SHIELD |
Other names 1
- Dunklau Gardens
National Provider Directory
National Provider Directory- Part of
- Mem Hosp of Dodge Count
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422144000000",
"number": "1750320859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252387",
"telephone_number": "402-721-1610",
"fax_number": "402-727-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252387",
"telephone_number": "402-727-3795",
"fax_number": "402-727-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREMONT HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FREMONT HEALTH",
"enumeration_date": "2006-06-05",
"last_updated": "2015-01-25",
"status": "A",
"authorized_official_last_name": "BOOTH",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "402-721-1610",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "LTCH011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00251",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dunklau Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fremont, NE
- Fremont Health (Fremont Area Medical Center / Parkview Home)
- Fremont Health (FAMCare Pharmacy)
- Fremont Health (FAMC Hospice / Fremont Nye Legacy)
- Fremont Health (Fremont Area Medical Center/Fremont Care Center dba Nye Pointe)
- Fremont Health (Fremont Health Medical Center)
- Fremont Health (Fremont Area Medical Center / AJ Merrick Manor)
- Fremont Health (Fremont AMC Hospice Scribner GS)
- Fremont Health (Fremont AMC Hospice Hooper Care Ctr)
- Fremont Health (Fremont Health Medical Center)
- Fremont Health (Fremont Health Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.