VSL St Edward LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

34002 Issued in NE

Legal business name

VSL ST EDWARD LLC

Doing business as

Cloverlodge Care Center

Practice address

301 N 13TH St
Saint Edward, NE 68660-4426

Phone

(402) 678-2294

Fax

(402) 678-2446

NPI assigned

Jun 15, 2017

Last updated

Jul 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack D Vetter

Title

Ceo

Phone

(402) 895-3932

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cloverlodge Care Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891225447. Details of each certification follow.

• CCN 285201 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 285201

Legal name

VSL ST EDWARD LLC

Doing business as

CLOVERLODGE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1996

Last certification

Apr 23, 2025

Beds

47

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Vetter Senior Living

Most recent change of ownership

Jul 1, 2017

Organization structure

LLCNon-profit

Enrollment address

301 N 13TH St
Saint Edward, NE 68660-4426

Nursing home name

CLOVERLODGE CARE CENTER

Affiliated entity

VETTER SENIOR LIVING

Listed as

Cloverlodge Care CenterCCN 285201 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Oct 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4732.4 residents per day on average

Chain

Vetter Senior Living22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Terry Lynn Troyer, MD

  • Family Medicine Physician
  • Saint Edward, NE
  • NPI 1326031212

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 28

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Vetter Home Health Care LLC

  dba Brookestone Home Health Care

  • Home Health Agency
  • Omaha, NE
  • NPI 1598288789

  Vetter Senior Living

  CMS ownership
• VSL Alliance LLC

  dba Highland Park Care Center

  • Skilled Nursing Facility
  • Alliance, NE
  • NPI 1578093811

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Broken Bow LLC

  dba Brookestone View

  • Skilled Nursing Facility
  • Broken Bow, NE
  • NPI 1972032555

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Columbus LLC

  dba Brookestone Acres

  • Skilled Nursing Facility
  • Columbus, NE
  • NPI 1598295016

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL David City LLC

  dba Brookestone Of David City

  • Skilled Nursing Facility
  • David City, NE
  • NPI 1306376074

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Elkhorn LLC

  dba Brookestone Meadows

  • Skilled Nursing Facility
  • Elkhorn, NE
  • NPI 1134658719

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Emerson LLC

  dba Heritage of Emerson

  • Skilled Nursing Facility
  • Emerson, NE
  • NPI 1669902334

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Fairbury LLC

  dba Heritage Care Center

  • Skilled Nursing Facility
  • Fairbury, NE
  • NPI 1558891796

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Geneva LLC

  dba Heritage Crossings

  • Skilled Nursing Facility
  • Geneva, NE
  • NPI 1215467840

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Gering LLC

  dba Heritage Estates

  • Skilled Nursing Facility
  • Gering, NE
  • NPI 1053840298

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Grand Island LLC

  dba Tiffany Square

  • Skilled Nursing Facility
  • Grand Island, NE
  • NPI 1326578956

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership
• VSL Kearney LLC

  dba Brookestone Gardens

  • Skilled Nursing Facility
  • Kearney, NE
  • NPI 1437618576

  Vetter Senior Living, VSL Vetter Health Services LLC

  CMS ownership

Practitioners 2

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.

• Bryant Patrick Carlson, MD

  • Family Medicine Physician
  • Albion, NE
  • NPI 1942946389
  NPD (past)
• Terry Lynn Troyer, MD

  • Family Medicine Physician
  • Saint Edward, NE
  • NPI 1326031212
  NPD (past)

Affiliated clinicians 3

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

• Bryant Patrick Carlson, MD

  • Family Medicine Physician
  • Albion, NE
  • NPI 1942946389

  Nursing home

  Care Compare affiliation
• Sean R. Kohl, MD

  • Family Medicine Physician
  • Albion, NE
  • NPI 1629068325

  Nursing home

  Care Compare affiliation
• Terry Lynn Troyer, MD

  • Family Medicine Physician
  • Saint Edward, NE
  • NPI 1326031212

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1891225447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20220 HARNEY ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222063",
            "telephone_number": "402-885-6120",
            "fax_number": "402-895-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 13TH ST",
            "city": "SAINT EDWARD",
            "state": "NE",
            "postal_code": "686604426",
            "telephone_number": "402-678-2294",
            "fax_number": "402-678-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSL ST EDWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "34002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "34002",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cloverlodge Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cloverlodge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randi Rae McQuistion, COTA
• St Edward Volunteer Fire & Rescue (St Edward Fire & Rescue Dept.)
• Joyce Anne Troyer, MD
• Terry Lynn Troyer, MD
• Valley Creek Chiropractic

• Skilled Nursing Facility in Saint Edward, NE
• Providers in Saint Edward, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.