SRMC Long Term Care LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SRMC LONG TERM CARE LLC

Practice address

549 Keller Dr
Sidney, NE 69162-1775

Phone

(308) 254-5825

NPI assigned

Jan 19, 2023

Last updated

Jan 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Utley

Title

Cfo

Phone

(308) 254-5825

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• SRMC Sloan Estates Assited Living Facility

  • Assisted Living Facility
  • Sidney, NE
  • NPI 1316652639
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca L Allard, MD

  • Family Medicine Physician
  • Sidney, NE
  • NPI 1821064635
  NPD (past)
• Michael L Matthews, M.D.

  • Family Medicine Physician
  • Sidney, NE
  • NPI 1821177726
  NPD (past)

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1851006209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622901",
            "telephone_number": "308-254-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 KELLER DR",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621775",
            "telephone_number": "308-254-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRMC LONG TERM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "308-254-5825"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tory Pauline Soucie
• Thomas Span
• Amanda Spencer
• Meghan Spyke
• SRMC EMS LLC
• SRMC Sloan Estates Assited Living Facility
• Dale Steffens
• Sterling Foot and Ankle Ctr P.C.
• Peggy Stettner
• Taraann Stevens

• Nursing Facility/Intermediate Care Facility in Sidney, NE
• Providers in Sidney, NE by specialty
• Nursing Facility/Intermediate Care Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.