NPIMap

Organization Active NPI

City of Crawford

Doing business as Ponderosa Villa

  • Skilled Nursing Facility
  • Crawford, NE
National Provider Identifier
1902860190
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CITY OF CRAWFORD
Doing business as
Ponderosa Villa
Practice address
1St & Paddock
Crawford, NE 69339
Phone
(308) 665-1224
Fax
(308) 665-2450
NPI assigned
Apr 14, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mrs. Sandra J Perkins
Title
Administrator
Phone
(308) 665-1224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 214002 NE
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1St & Paddock
Crawford, NE 69339

Mailing address

PO Box 526
1St & Paddock
Crawford, NE 69339
Phone (308) 665-1224

Other names 1

  • Ponderosa Villa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Crawford2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1902860190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "address_2": "1ST & PADDOCK",
            "city": "CRAWFORD",
            "state": "NE",
            "postal_code": "69339",
            "telephone_number": "308-665-1224",
            "fax_number": "308-665-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST & PADDOCK",
            "city": "CRAWFORD",
            "state": "NE",
            "postal_code": "69339",
            "telephone_number": "308-665-1224",
            "fax_number": "308-665-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CRAWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-665-1224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "214002",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponderosa Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crawford, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.