Mable Rose Estates, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF102 Issued in NE

Legal business name

MABLE ROSE ESTATES, INC

Practice address

4609 Hilltop St
Papillion, NE 68133-3323

Phone

(402) 291-9777

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jolene Roberts

Title

Ceo/President

Phone

(402) 682-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillcrest Mable Rose Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1780723288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HARLAN DRIVE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680056609",
            "telephone_number": "402-682-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 HILLTOP ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681333323",
            "telephone_number": "402-291-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABLE ROSE ESTATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-682-4800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025055100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Mable Rose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Luckey
• Emily Catherine Luke
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Kay Elaine Lyman
• Shawn Jeffrey Macdonald, OT
• Sharon Elena Macholan, LCSW
• Sonja Macias
• McCaiden Mackeprang
• Kasey Maddux

• Assisted Living Facility in Papillion, NE
• Providers in Papillion, 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 Jan 25, 2017; 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.