Active NPI
Louisville Care Center
- Skilled Nursing Facility
- Louisville, NE
National Provider Identifier
1912980921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 114001
- Legal business name
- LOUISVILLE CARE CENTER
- Practice address
- 410 W 5TH St
Louisville, NE 68037-6006 - Phone
- (402) 234-2125
- Fax
- (402) 234-2431
- NPI assigned
- Nov 23, 2005
- 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
- Mrs. Kari Wockenfuss
- Title
- Administrator
- Phone
- (402) 234-2125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 114001 | NE | Primary |
Addresses
Primary practice location
410 W 5TH St
Louisville, NE 68037-6006
Mailing address
410 W 5TH St
Louisville, NE 68037-6006
Phone (402) 234-2125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28E096 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050404000912 | NE | Part A Provider - Skilled Nursing Facility | 5799732574 | Practice locations: Louisville, NE |
Skilled nursing facility certification: CCN 285267
- Legal name
- LOUISVILLE CARE CENTER
- Doing business as
- LOUISVILLE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- May 19, 2005
- Last certification
- Jan 13, 2025
- Beds
- 61
- Ownership / control type
- City
- Organization structure
- Other
- Incorporated
- May 1, 1972 in NE
- Enrollment address
- 410 West 5TH Street
Louisville, NE 68037-6006
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Nye Summit
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 19, 2005
- Medicare certification status
- Active
- Certified beds
- 61
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Darlene Petrzilka | Corporate Director | Apr 4, 2005 | |
| Kari Wockenfuss | W-2 Managing Employee | Jul 1, 2004 | |
| Louisville Care Center | 5% Or Greater Direct Ownership Interest | May 1, 1972 | 100% |
| Candace McClun | Corporate Director | Apr 4, 2005 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1548820640
-
- Adult Health Nurse Practitioner
- Bellevue, NE
- NPI 1265756332
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Health Nurse Practitioner
- Bellevue, NE
- NPI 1265756332
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351555200000",
"number": "1912980921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W 5TH ST",
"city": "LOUISVILLE",
"state": "NE",
"postal_code": "680376006",
"telephone_number": "402-234-2125",
"fax_number": "402-234-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 5TH ST",
"city": "LOUISVILLE",
"state": "NE",
"postal_code": "680376006",
"telephone_number": "402-234-2125",
"fax_number": "402-234-2431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISVILLE CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2012-10-30",
"status": "A",
"authorized_official_last_name": "WOCKENFUSS",
"authorized_official_first_name": "KARI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "402-234-2125",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "114001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28E096",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.