CSL Van Dorn, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF157 Issued in NC

Legal business name

CSL VAN DORN, LLC

Doing business as

The Windcrest on Van Dorn

Practice address

7208 Van Dorn Street
Lincoln, NE 68506

Phone

(402) 486-0011

Fax

(402) 484-9170

NPI assigned

Jul 6, 2010

Last updated

Jul 6, 2010By 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

Mrs. Gloria Holland, 9727705600

Title

VP-Finance

Phone

(972) 770-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Windcrest on Van Dorn Doing business as

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1801108949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 DALLAS PARKWAY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254",
            "telephone_number": "972-770-5100",
            "fax_number": "972-770-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 VAN DORN STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-486-0011",
            "fax_number": "402-484-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL VAN DORN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "VP-FINANCE",
        "authorized_official_telephone_number": "972-770-5600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "9727705600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "ALF157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100258598-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Windcrest on Van Dorn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Cruz
• Maecie Ann Cruz
• Sarah Cruz
• Tabatha C Cruz
• Annette Cserna, DDS
• Ha Cu, APRN-NP
• Christopher S Cuciti, M.D.
• Abby Marie Cuddy
• Amanda Marie Cue, PLMHP
• Valynn Cue

• Assisted Living Facility in Lincoln, NE
• Providers in Lincoln, 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 Jul 6, 2010; 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.