Organization Active NPI

Shiloh Place LLC

  • Assisted Living Facility
  • Fremont, NE
National Provider Identifier
1841690930
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF355 Issued in NE
Legal business name
SHILOH PLACE LLC
Practice address
915 N H St
Fremont, NE 68025-4138
Phone
(402) 721-9130
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Cynthia Whitten
Title
Managing Member
Phone
(402) 208-8859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF355 NE Primary

Addresses

Primary practice location

915 N H St
Fremont, NE 68025-4138

Mailing address

915 N H St
Fremont, NE 68025-4138
Phone (402) 712-9130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1841690930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N H ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254138",
            "telephone_number": "402-712-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N H ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254138",
            "telephone_number": "402-721-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "402-208-8859"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.