Organization Active NPI

Plainview Manor

  • Skilled Nursing Facility
  • Plainview, NE
National Provider Identifier
1861487696
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
624002 Issued in NE
Legal business name
PLAINVIEW MANOR
Practice address
101 W Harper Ave
Plainview, NE 68769-2037
Phone
(402) 582-3849
Fax
(402) 582-3850
NPI assigned
Sep 19, 2005
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Mrs. Juleen Marie Johnson
Title
Administrator
Phone
(402) 582-3849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 624002 NE Primary

Addresses

Primary practice location

101 W Harper Ave
Plainview, NE 68769-2037

Mailing address

101 W Harper Ave
Plainview, NE 68769-2037
Phone (402) 582-3849

Other identifiers 2

IdentifierTypeStateIssuer
28E136MedicaidNE
28E136OtherNEHHS FEDERAL

Other names 1

  • Plainview Manor Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061027000327 NE Part A Provider - Skilled Nursing Facility 6507863933 Practice locations: Plainview, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861487696. Details of each certification follow.

Skilled nursing facility certification: CCN 285273

Legal name
PLAINVIEW MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 21, 2007
Last certification
Aug 8, 2024
Beds
39
Ownership / control type
City
Organization structure
OtherNon-profit
Enrollment address
101 W Harper Ave
Plainview, NE 68769-2037
Nursing home name
PLAINVIEW MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Plainview ManorCCN 285273 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - City
Certified
Jun 21, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3932.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joan Alexander Individual Operational/Managerial Control Jun 1, 2021
Managing Control - Governing BodyMember Jun 1, 2021
Jody Born Individual Operational/Managerial Control Dec 1, 2022
Managing Control - Governing BodyMember Dec 1, 2022
Kim M Wolken Individual Operational/Managerial Control Jun 1, 2012
Managing Control - Governing BodyPresident Jun 1, 2012
Tyler Sanne Individual Operational/Managerial Control Sep 1, 2019
Managing Control - Governing BodyMember Sep 1, 2019
Corrine Janovec Individual Operational/Managerial Control Dec 1, 2022
Managing Control - Governing BodyCity Council Member Dec 1, 2022
Juleen Johnson Individual Operational/Managerial Control Nov 1, 2005
Adp of the SNF Feb 4, 2025
Traci Gaylor Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyMember Sep 1, 2023
Plainview Manor Organization, Plainview, NE Non-profit Operational/Managerial Control Jan 1, 2025
Adp of the SNF Mar 18, 2025
Melissa Tarr Individual Operational/Managerial Control Jul 1, 2023
Managing Control - Governing BodyMember Jul 1, 2023
Robert Smith Individual Operational/Managerial ControlMayor of the City of Plainview Dec 1, 2022 100%
Managing Control - Governing BodyMayor Dec 1, 2022
Lane T Handke Individual Adp of the SNF Mar 18, 2025
Melissa Hoffart Individual Operational/Managerial Control May 1, 2024
Managing Control - Governing BodyMember May 1, 2024
Sarah Doty Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyCity Council Member Dec 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1861487696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W HARPER AVE",
            "city": "PLAINVIEW",
            "state": "NE",
            "postal_code": "687692037",
            "telephone_number": "402-582-3849",
            "fax_number": "402-582-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HARPER AVE",
            "city": "PLAINVIEW",
            "state": "NE",
            "postal_code": "687692037",
            "telephone_number": "402-582-3849",
            "fax_number": "402-582-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINVIEW MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JULEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-582-3849",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "624002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28E136",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHS FEDERAL",
            "identifier": "28E136",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plainview Manor Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plainview, NE

Sources for this page

Verify at the official NPI Registry.