Papillion Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

684004 Issued in NE

Legal business name

PAPILLION MANOR INC

Doing business as

Papillion Manor

Practice address

610 S Polk St
Papillion, NE 68046-2548

Phone

(402) 339-7700

Fax

(402) 592-9155

NPI assigned

Aug 29, 2006

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Papillion Manor Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Weremy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
  • NPI 1255302212
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1932218765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S POLK ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462548",
            "telephone_number": "402-339-7700",
            "fax_number": "402-592-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S POLK ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462548",
            "telephone_number": "402-339-7700",
            "fax_number": "402-592-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPILLION MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-12-20",
        "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": "684004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Papillion Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Papillion Family Hospital, LLC
• Papillion Family Medicine P C
• Papillion Grand Lodge Operating Company LLC
• Papillion la Vista Community Schools
• Papillion Mable Rose Operating Company LLC
• Papillion Optical, Inc. (Papillion Optical)
• Papillion Pediatric Dentistry, PC
• Papillion Physical Medicine, P.C.
• Papillion Shadow Lake Operating Company LLC
• Papio Ambulance Services Inc

• Skilled Nursing Facility in Papillion, NE
• Providers in Papillion, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.