Organization Active NPI

Sutton Community Home, Inc

  • Skilled Nursing Facility
  • Sutton, NE
National Provider Identifier
1912034620
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
164003 Issued in NE
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

Updated by the provider on Feb 5, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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.CCN 285277 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 2, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3117.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0456206Sutton Community Home, Inc1106 N Saunders Ave, Sutton, NE 68979Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Sutton Community Home Inc2 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.

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.

NameRoleSinceShare
Carl Gobelman Individual Corporate OfficerPresident of Board Sep 14, 2020
Operational/Managerial Control Sep 14, 2020
Adp of the SNF Sep 14, 2020
Jan McKenzie Individual Corporate OfficerVice President of Board Sep 13, 2023
Operational/Managerial Control Sep 13, 2023
Adp of the SNF Sep 13, 2023
Martha Vinge-Sheridan Individual Corporate Officer Sep 10, 2018
Operational/Managerial Control Sep 10, 2018
Adp of the SNF Sep 10, 2018
Donna Kay Yost Individual Corporate OfficerBoard Member at Large Sep 9, 2024
Operational/Managerial Control Sep 9, 2024
Adp of the SNF Sep 9, 2024
Sutton Community Home, Inc Organization, Sutton, NE Created for acquisition, Corporation 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 Individual Corporate OfficerAdministrator Jan 3, 2023
Operational/Managerial Control Jan 3, 2023
Adp of the SNF Jan 3, 2023
Keenan Friesen Individual Corporate OfficerBoard Member at Large Sep 13, 2021
Operational/Managerial Control Sep 13, 2021
Adp of the SNF Sep 13, 2021
Douglas J Althouse Individual Corporate DirectorMedical Director Mar 14, 2019
Operational/Managerial Control Mar 14, 2019
Adp of the SNF Mar 14, 2019
Ardean Nunnenkamp Individual Corporate OfficerBoard Member at Large Sep 13, 2023
Operational/Managerial Control Sep 13, 2023
Adp of the SNF Sep 13, 2023
Sophia Carlson Individual Corporate OfficerAssistant Administrator Mar 12, 2024
Operational/Managerial Control Mar 12, 2024
Adp of the SNF Mar 12, 2024
Katie Vanderley Individual Corporate OfficerBoard Member at Large Sep 13, 2021
Operational/Managerial Control Sep 13, 2021
Adp of the SNF Sep 13, 2021
Ashley Gemar Individual Corporate OfficerBoard Member at Large Oct 15, 2024
Operational/Managerial Control Oct 15, 2024
Adp of the SNF Oct 15, 2024
Jennifer Griess Individual Corporate OfficerBoard Member at Large 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.

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

Sources for this page

Verify at the official NPI Registry.