NPIMap

Organization Active NPI

Mid America Care Centers, Inc.

  • Skilled Nursing Facility
  • Lincoln, NE
National Provider Identifier
1831153295
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
504005 Issued in NE
Legal business name
MID AMERICA CARE CENTERS, INC.
Doing business as
Holmes Lake Rehabilitation & Care Center
Practice address
6101 Normal Blvd
Lincoln, NE 68506-2767
Phone
(402) 489-7175
Fax
(402) 489-5270
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Vicky A Goc, ADMINISTRATOR
Title
Administrator
Phone
(402) 489-7175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 504005 NE Primary

Addresses

Primary practice location

6101 Normal Blvd
Lincoln, NE 68506-2767

Mailing address

6101 Normal Blvd
Lincoln, NE 68506-2767
Phone (402) 489-7175

Other names 1

  • Holmes Lake Rehabilitation & Care Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1831153295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062767",
            "telephone_number": "402-489-7175",
            "fax_number": "402-489-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062767",
            "telephone_number": "402-489-7175",
            "fax_number": "402-489-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "GOC",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-489-7175",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "504005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmes Lake Rehabilitation & Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.