The Heritage at Legacy Operating, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE HERITAGE AT LEGACY OPERATING, LLC

Practice address

2961 S 169TH PLZ
Omaha, NE 68130-2053

Phone

(402) 934-2999

Fax

(402) 800-3000

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Christine Shupe

Title

Executive Director

Phone

(402) 934-2999

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1801300892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 S 169TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302053",
            "telephone_number": "402-934-2999",
            "fax_number": "402-800-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 S 169TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302053",
            "telephone_number": "402-934-2999",
            "fax_number": "402-800-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HERITAGE AT LEGACY OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHUPE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-934-2999"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Omaha, NE
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• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.