Heritage of Red Cloud Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

814002 Issued in NE

Legal business name

HERITAGE OF RED CLOUD INC

Practice address

636 N Locust St
Red Cloud, NE 68970-2463

Phone

(402) 746-2296

Fax

(402) 746-2325

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Jack Dean Vetter

Title

President

Phone

(402) 895-3932

Specialties & licenses 1

Addresses

Other names 1

• Heritage of Red Cloud Doing business as

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871602607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 N LOCUST ST",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689702463",
            "telephone_number": "402-746-2296",
            "fax_number": "402-746-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 N LOCUST ST",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689702463",
            "telephone_number": "402-746-2296",
            "fax_number": "402-746-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OF RED CLOUD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "814002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage of Red Cloud",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Red Cloud, NE
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.