The Independence House Superior-Autumn House

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

ALF172 Issued in NE

Legal business name

THE INDEPENDENCE HOUSE SUPERIOR-AUTUMN HOUSE

Doing business as

Emerald Care Company

Practice address

1740 Superior St
Lincoln, NE 68521-1502

Phone

(402) 438-7844

Fax

(888) 699-1112

NPI assigned

Dec 27, 2010

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

EMERALD CARE COMPANYAs reported in NPPES

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

Authorized official

Name

Ms. Marsha E. Stork

Title

President

Phone

(402) 475-7755

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emerald Care Company Doing business as

Tax ID family

The Independence House Coddington5 organizations share this tax ID, including this one

Part of

The Independence House Coddington

Other organizations with this tax ID 4

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

• The Independence House Coddington

  dba Emerald Care Co.

  • Alzheimer Center (Dementia Center)
  • Lincoln, NE
  • NPI 1528362027
  NPD tax ID
• The Independence House Mandarin

  dba Emerald Care Co.

  • Alzheimer Center (Dementia Center)
  • Lincoln, NE
  • NPI 1801190301
  NPD tax ID
• The Independence House Northview

  dba Emerald Care Co.

  • Alzheimer Center (Dementia Center)
  • Lincoln, NE
  • NPI 1780928036
  NPD tax ID
• The Independence House Northview Emerald Gardens

  dba Emerald Care Co.

  • Alzheimer Center (Dementia Center)
  • Lincoln, NE
  • NPI 1720322043
  NPD tax ID

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1902100407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081884",
            "telephone_number": "402-475-7755",
            "fax_number": "402-474-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SUPERIOR ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211502",
            "telephone_number": "402-438-7844",
            "fax_number": "888-699-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INDEPENDENCE HOUSE SUPERIOR-AUTUMN HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERALD CARE COMPANY",
        "enumeration_date": "2010-12-27",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "STORK",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-475-7755",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NE",
            "license": "ALF172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249578-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Care Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Harbor Senior Care LLC
• The Independence House Coddington (Emerald Care Co.)
• The Independence House Mandarin (Emerald Care Co.)
• The Independence House Northview (Emerald Care Co.)
• The Independence House Northview Emerald Gardens (Emerald Care Co.)
• The Insight Program, P.C.
• The Legacy Limited Partnership, LTD
• The Mind Body Soul Collective LLC
• The Movement Collective Physical Therapy, LLC
• The Nebraska Ambulatory Surgical Center, LLC (The Nebraska Ambulatory Surgical Center)

• Alzheimer Center (Dementia Center) in Lincoln, NE
• Providers in Lincoln, 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 Nov 26, 2012; 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.