NPIMap

Organization Active NPI

Blue Valley Lutheran Homes Society Inc

Doing business as Courtyard Terrace Assisted Living

  • Assisted Living Facility
  • Hebron, NE
National Provider Identifier
1932391729
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLUE VALLEY LUTHERAN HOMES SOCIETY INC
Doing business as
Courtyard Terrace Assisted Living
Practice address
1 Terrace Cir
Hebron, NE 68370-1071
Phone
(402) 768-3950
Fax
(402) 768-3951
NPI assigned
Aug 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Doug A Chos
Title
Chief Executive Officer
Phone
(402) 768-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NE Primary

Addresses

Primary practice location

1 Terrace Cir
Hebron, NE 68370-1071

Mailing address

PO Box 166
Hebron, NE 68370-0166
Phone (402) 768-3900

Other names 1

  • Courtyard Terrace Assisted Living Doing business as

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
28D2032161Courtyard Terrace1 Terrace Circle, Hebron, NE 68370Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Blue Valley Lutheran Homes Society Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932391729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "HEBRON",
            "state": "NE",
            "postal_code": "683700166",
            "telephone_number": "402-768-3900",
            "fax_number": "402-768-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TERRACE CIR",
            "city": "HEBRON",
            "state": "NE",
            "postal_code": "683701071",
            "telephone_number": "402-768-3950",
            "fax_number": "402-768-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VALLEY LUTHERAN HOMES SOCIETY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "CHOS",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "402-768-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Terrace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Courtyard Terrace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hebron, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.