Fulton Homes Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FULTON HOMES ASSISTED LIVING

Practice address

13750 Millard Ave
Omaha, NE 68137-2712

Phone

(402) 502-0502

NPI assigned

May 28, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Demeria BruceNPI 1225567605

Title

Owner

Phone

(402) 502-0502

Specialties & licenses 1

Addresses

Other names 1

• Fulton Homes Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demeria M Bruce

  • Licensed Practical Nurse
  • Manchester, NH
  • NPI 1225567605
  NPD Authorized official

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1881487072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 MILLARD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372712",
            "telephone_number": "402-502-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 MILLARD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372712",
            "telephone_number": "402-502-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON HOMES ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "DEMERIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-502-0502",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Homes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Redgy Fuller, DO
• Shayona Fuller
• Tayler Danyelle Fuller, DDS
• Tyreshia Fuller
• Nathan Fullinfaw
• Amanda M Fulton
• Brianna Fulton
• Caitlin Joy Fulton, B.A.
• Celestine Fulton
• Elexsis Fulton Jr.

• Assisted Living Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.