Hastings Memory Care, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

HASTINGS MEMORY CARE, LLC

Doing business as

Providence Place of Hastings

Practice address

19209 Taylor Cir
Elkhorn, NE 68022-5234

Phone

(402) 834-3285

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Jason Lange

Title

Manager

Phone

(402) 960-0376

Specialties & licenses 1

Addresses

Other names 1

• Providence Place of Hastings Doing business as

Locations

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1871998104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 W 12TH STREET",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "68901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19209 TAYLOR CIR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225234",
            "telephone_number": "402-834-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-960-0376"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Place of Hastings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Harlow
• Amanda Harrington
• Jennifer Harris
• Ashley Hartung
• Staci L Haskett, COTA/L
• Jeanette Renee Hauptman, APRN
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• Heartfelt Care LLC

• Alzheimer Center (Dementia Center) in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Alzheimer Center (Dementia Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.