NPIMap

Organization Active NPI

The Ambassador of Omaha

  • Pediatric Skilled Nursing Facility
  • Omaha, NE
National Provider Identifier
1841589207
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
271 Issued in NE
Legal business name
THE AMBASSADOR OF OMAHA
Practice address
1540 N 72ND St
Omaha, NE 68114-1924
Phone
(402) 393-6500
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mr. Tim Juiliffs
Title
Owner
Phone
(402) 393-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 271 NE Primary

Addresses

Primary practice location

1540 N 72ND St
Omaha, NE 68114-1924

Mailing address

1540 N 72ND St
Omaha, NE 68114-1924

National Provider Directory

National Provider Directory
Tax ID family
Ambassador Nebraska City3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1841589207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141924",
            "telephone_number": "402-393-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMBASSADOR OF OMAHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "JUILIFFS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-393-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NE",
            "license": "271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.