NPIMap

Organization Active NPI

Milder Manor, Inc

Doing business as Sumner Place

  • Skilled Nursing Facility
  • Lincoln, NE
National Provider Identifier
1902914518
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
504008 Issued in NE
Legal business name
MILDER MANOR, INC
Doing business as
Sumner Place
Practice address
1750 S 20TH St
Lincoln, NE 68502-2611
Phone
(402) 475-6791
Fax
(402) 475-3792
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Jack Dean Vetter
Title
President
Phone
(402) 895-3932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 504008 NE Primary

Addresses

Primary practice location

1750 S 20TH St
Lincoln, NE 68502-2611

Mailing address

1750 S 20TH St
Lincoln, NE 68502-2611
Phone (402) 475-6791

Other names 1

  • Sumner Place Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1902914518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S 20TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685022611",
            "telephone_number": "402-475-6791",
            "fax_number": "402-475-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S 20TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685022611",
            "telephone_number": "402-475-6791",
            "fax_number": "402-475-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDER MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "504008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumner Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.