Wilcox Properties of Fort Calhoun, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF033 Issued in NE

Legal business name

WILCOX PROPERTIES OF FORT CALHOUN, LLC

Doing business as

Autumn Pointe

Practice address

501 N 13TH St
Fort Calhoun, NE 68023-2054

Phone

(402) 468-4700

Fax

(402) 468-4704

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Jean L Wilcox

Title

Managing Member

Phone

(402) 898-1079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Autumn Pointe Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1912133976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 13TH ST",
            "city": "FORT CALHOUN",
            "state": "NE",
            "postal_code": "680232054",
            "telephone_number": "402-468-4700",
            "fax_number": "402-468-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 13TH ST",
            "city": "FORT CALHOUN",
            "state": "NE",
            "postal_code": "680232054",
            "telephone_number": "402-468-4700",
            "fax_number": "402-468-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX PROPERTIES OF FORT CALHOUN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "402-898-1079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025470300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fort Calhoun, NE
• Providers in Fort Calhoun, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.