The Independence House Mandarin

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

ALF251 Issued in NE

Legal business name

THE INDEPENDENCE HOUSE MANDARIN

Doing business as

Emerald Care Co.

Practice address

4610 Mandarin Cir
Lincoln, NE 68516-4434

Phone

(402) 488-2755

Fax

(888) 623-1116

NPI assigned

Dec 27, 2010

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

EMERALD CARE CO.As reported in NPPES

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

Authorized official

Name

Ms. Marsha E. Stork

Title

President

Phone

(402) 475-7755

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emerald Care Co. Doing business as

Tax ID family

The Independence House Superior-Autumn House5 organizations share this tax ID, including this one

Part of

The Independence House Superior-Autumn House

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The Independence House Coddington

  dba Emerald Care Co.

  • Alzheimer Center (Dementia Center)
  • Lincoln, NE
  • NPI 1528362027
  NPD tax ID
• The Independence House Northview

  dba Emerald Care Co.

  • Alzheimer Center (Dementia Center)
  • Lincoln, NE
  • NPI 1780928036
  NPD tax ID
• The Independence House Northview Emerald Gardens

  dba Emerald Care Co.

  • Alzheimer Center (Dementia Center)
  • Lincoln, NE
  • NPI 1720322043
  NPD tax ID
• The Independence House Superior-Autumn House

  dba Emerald Care Company

  • Alzheimer Center (Dementia Center)
  • Lincoln, NE
  • NPI 1902100407
  NPD tax ID

Locations

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1801190301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081884",
            "telephone_number": "402-475-7755",
            "fax_number": "402-474-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 MANDARIN CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164434",
            "telephone_number": "402-488-2755",
            "fax_number": "888-623-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INDEPENDENCE HOUSE MANDARIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERALD CARE CO.",
        "enumeration_date": "2010-12-27",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "STORK",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-475-7755",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NE",
            "license": "ALF251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253014-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Care Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Express Clinic, LLC (Express Care Clinic)
• The Good Shepherd Home Healthcare Services LLC
• The Grace Space
• The Harbor Senior Care LLC
• The Independence House Coddington (Emerald Care Co.)
• The Independence House Northview (Emerald Care Co.)
• The Independence House Northview Emerald Gardens (Emerald Care Co.)
• The Independence House Superior-Autumn House (Emerald Care Company)
• The Insight Program, P.C.
• The Legacy Limited Partnership, LTD

• Alzheimer Center (Dementia Center) in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Alzheimer Center (Dementia Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.