Silvercrest Fountain View Independent, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF292 Issued in NE

Legal business name

SILVERCREST FOUNTAIN VIEW INDEPENDENT, LP

Practice address

5710 S 108TH St
Omaha, NE 68137-3592

Phone

(402) 596-9033

Fax

(402) 932-3997

NPI assigned

Mar 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. George A Bakhit

Title

Executive Director

Phone

(402) 596-9033

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Fountain View Senior Living Community Other name

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1760780936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 S 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373592",
            "telephone_number": "402-596-9033",
            "fax_number": "402-932-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 S 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373592",
            "telephone_number": "402-596-9033",
            "fax_number": "402-932-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERCREST FOUNTAIN VIEW INDEPENDENT, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "BAKHIT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-596-9033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF292",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NE",
            "license": "ALF292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253886/00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain View Senior Living Community",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Silver at Home Medical Group LLC
• Silver Lining at Home LLC
• Erin M Silver, BA
• Courtney Silvera
• David A Silverberg, M.D.
• Paul Silverstein, DO
• Joan M Silverstrand, CRNA
• Estefania Silvestre-Cruz
• Alison Silvius
• Kayla L Silvus, APRN

• Assisted Living Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.