NPIMap

Organization Active NPI

State of Nebraska Dept of Admin Services

  • Skilled Nursing Facility
  • Scottsbluff, NE
National Provider Identifier
1881791085
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
704006 Issued in NE
Legal business name
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Doing business as
Western Nebraska Veterans Home
Practice address
1102 W 42ND St
Scottsbluff, NE 69361-4711
Phone
(308) 632-0324
Fax
(308) 632-1384
NPI assigned
Sep 20, 2006
Organization subpart
Yes
Parent organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Mr. John A. Hilgert
Title
Veterans Home Administrator
Phone
(402) 471-7762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF192 NE
Skilled Nursing Facility 314000000X 704006 NE Primary

Addresses

Primary practice location

1102 W 42ND St
Scottsbluff, NE 69361-4711

Mailing address

301 Centennial Mall S
PO Box 98936
Lincoln, NE 68508-2529
Phone (402) 471-9447

Other names 1

  • Western Nebraska Veterans Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001011 NE Part B Supplier - Clinic/Group Practice 0648180828 Receives reassigned benefits from 28 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beatrice, NE; Bellevue, NE; Kearney, NE; Lincoln, NE; Norfolk, NE; Scottsbluff, NE

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0047978Western Nebraska Veterans Home1102 West 42ND Street, Scottsbluff, NE 69361Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Western Nebraska Vetera27 organizations share this tax ID, including this one
Part of
Western Nebraska Vetera

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

301 Centennial Mall S
Lincoln, NE 68508
Phone (402) 471-1920

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1881791085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CENTENNIAL MALL S",
            "address_2": "PO BOX 98936",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082529",
            "telephone_number": "402-471-9447",
            "fax_number": "402-471-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W 42ND ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614711",
            "telephone_number": "308-632-0324",
            "fax_number": "308-632-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "HILGERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VETERANS HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "402-471-7762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF192",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "704006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Nebraska Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.