Active NPI
Sutton Community Home, Inc
- Skilled Nursing Facility
- Sutton, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 164003
- Legal business name
- SUTTON COMMUNITY HOME, INC
- Practice address
- 1106 North Saunders Ave
Sutton, NE 68979-2406 - Phone
- (402) 773-5557
- Fax
- (402) 773-5559
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hannah Rose Elliott, MBA, MA, NHA
- Title
- Administrator
- Phone
- (402) 773-5557
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALF235 | NE | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 164003 | NE | |
| Skilled Nursing Facility | 314000000X | 164003 | NE | Primary |
Addresses
Primary practice location
1106 North Saunders Ave
Sutton, NE 68979-2406
Mailing address
1106 North Saunders Ave
Sutton, NE 68979-2406
Phone (402) 773-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080822000438 | NE | Part A Provider - Skilled Nursing Facility | 2567537756 | Practice locations: Sutton, NE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912034620. Details of each certification follow.
Skilled nursing facility certification: CCN 285277
- Legal name
- SUTTON COMMUNITY HOME, INC
- Doing business as
- SUTTON COMMUNITY HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 2, 2008
- Last certification
- Sep 12, 2024
- Beds
- 31
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 1106 N Saunders Ave
Sutton, NE 68979-2406 - Nursing home name
- SUTTON COMMUNITY HOME, INC.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sutton Community Home, Inc.
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 2, 2008
- Medicare certification status
- Active
- Certified beds
- 31
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0456206 | Sutton Community Home, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Sutton Community Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Sutton, NE
- NPI 1629105358
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carl Gobelman | Corporate Officer | Sep 14, 2020 | |
| Operational/Managerial Control | Sep 14, 2020 | ||
| Adp of the SNF | Sep 14, 2020 | ||
| Jan McKenzie | Corporate Officer | Sep 13, 2023 | |
| Operational/Managerial Control | Sep 13, 2023 | ||
| Adp of the SNF | Sep 13, 2023 | ||
| Martha Vinge-Sheridan | Corporate Officer | Sep 10, 2018 | |
| Operational/Managerial Control | Sep 10, 2018 | ||
| Adp of the SNF | Sep 10, 2018 | ||
| Donna Kay Yost | Corporate Officer | Sep 9, 2024 | |
| Operational/Managerial Control | Sep 9, 2024 | ||
| Adp of the SNF | Sep 9, 2024 | ||
| Sutton Community Home, Inc | 5% Or Greater Direct Ownership Interest | Mar 27, 1998 | 100% |
| Operational/Managerial Control | Nov 18, 2020 | ||
| Adp of the SNF | Mar 27, 1998 | ||
| Amy Schelkopf | Corporate Officer | Jan 3, 2023 | |
| Operational/Managerial Control | Jan 3, 2023 | ||
| Adp of the SNF | Jan 3, 2023 | ||
| Keenan Friesen | Corporate Officer | Sep 13, 2021 | |
| Operational/Managerial Control | Sep 13, 2021 | ||
| Adp of the SNF | Sep 13, 2021 | ||
| Douglas J Althouse | Corporate Director | Mar 14, 2019 | |
| Operational/Managerial Control | Mar 14, 2019 | ||
| Adp of the SNF | Mar 14, 2019 | ||
| Ardean Nunnenkamp | Corporate Officer | Sep 13, 2023 | |
| Operational/Managerial Control | Sep 13, 2023 | ||
| Adp of the SNF | Sep 13, 2023 | ||
| Sophia Carlson | Corporate Officer | Mar 12, 2024 | |
| Operational/Managerial Control | Mar 12, 2024 | ||
| Adp of the SNF | Mar 12, 2024 | ||
| Katie Vanderley | Corporate Officer | Sep 13, 2021 | |
| Operational/Managerial Control | Sep 13, 2021 | ||
| Adp of the SNF | Sep 13, 2021 | ||
| Ashley Gemar | Corporate Officer | Oct 15, 2024 | |
| Operational/Managerial Control | Oct 15, 2024 | ||
| Adp of the SNF | Oct 15, 2024 | ||
| Jennifer Griess | Corporate Officer | Sep 12, 2022 | |
| Operational/Managerial Control | Sep 12, 2022 | ||
| Adp of the SNF | Sep 12, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Minden, NE
- NPI 1447283601
Adp of the SNF, Corporate Director, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1912034620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 NORTH SAUNDERS AVE",
"city": "SUTTON",
"state": "NE",
"postal_code": "689792406",
"telephone_number": "402-773-5557",
"fax_number": "402-773-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 NORTH SAUNDERS AVE",
"city": "SUTTON",
"state": "NE",
"postal_code": "689792406",
"telephone_number": "402-773-5557",
"fax_number": "402-773-5559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTON COMMUNITY HOME, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "HANNAH",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "402-773-5557",
"authorized_official_credential": "MBA, MA, NHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NE",
"license": "ALF235",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NE",
"license": "164003",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "164003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sutton, NE
- Sarah Rae Roberts
- Patricia A Sadd, LPN
- South Central Chiropractic, P.C.
- Tanna May Spencer
- Sutton Community Home Inc
- Sutton Public Schools
- Sutton Vision Center Inc
- The Mary Lanning Memorial Hospital Association (Mary Lanning Hospice)
- The Mary Lanning Memorial Hospital Association (Sutton Medical Clinic)
- Catherine Johanna Youngblood, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.