Prairie View Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF346 Issued in NE

Legal business name

PRAIRIE VIEW ASSISTED LIVING, LLC

Doing business as

Prairie View Assisted Living

Practice address

100 S Pine St
Tilden, NE 68781-8118

Phone

(402) 368-2250

Fax

(402) 368-2254

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Clifton, ALA

Title

Administrator

Phone

(402) 368-2250

Specialties & licenses 1

Addresses

Other names 1

• Prairie View Assisted Living Doing business as

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1770822926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S PINE ST",
            "city": "TILDEN",
            "state": "NE",
            "postal_code": "687818118",
            "telephone_number": "402-368-2250",
            "fax_number": "402-368-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PINE ST",
            "city": "TILDEN",
            "state": "NE",
            "postal_code": "687818118",
            "telephone_number": "402-368-2250",
            "fax_number": "402-368-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VIEW ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-368-2250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie View Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Wayne Mott
• Doris Ann O'Brien, PT
• Jeanne M. O'Brien, R.N.
• Lindsay Ottis, RN
• Lajean Marie Powell
• Diane Price
• Alexis M Rajaee
• Sandi Reichmuth
• Stender Family Chiropractic PC
• Jane Tegeler, RN

• Assisted Living Facility in Tilden, NE
• Providers in Tilden, 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 Feb 7, 2013; 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.