Manor of North Platte, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF029 Issued in NE

Legal business name

MANOR OF NORTH PLATTE, INC

Doing business as

Linden Estates

Practice address

3700 W Philip Ave
North Platte, NE 69101-0306

Phone

(308) 534-8808

Fax

(308) 534-8818

NPI assigned

Aug 29, 2006

Last updated

Sep 25, 2007By 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

Jack Dean Vetter

Title

President

Phone

(402) 895-3932

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Linden Estates Doing business as

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1780792663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W PHILIP AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010306",
            "telephone_number": "308-534-8808",
            "fax_number": "308-534-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W PHILIP AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010306",
            "telephone_number": "308-534-8808",
            "fax_number": "308-534-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR OF NORTH PLATTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024985300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linden Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in North Platte, NE
• Providers in North Platte, 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 Sep 25, 2007; 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.