Organization Active NPI

Rush and Wilks Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lincoln, NE
National Provider Identifier
1942073788
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
RUSH AND WILKS HOMES LLC
Practice address
5309 NW 3Rd St
Lincoln, NE 68521-5301
Phone
(402) 219-4633
Fax
(531) 248-4666
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Katievia Quatrea Rush-Wilks, NURSE PRACTITIONERNPI 1871225086
Title
Owner
Phone
(402) 219-4633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X

Addresses

Primary practice location

5309 NW 3Rd St
Lincoln, NE 68521-5301

Mailing address

5309 NW 3Rd St
Lincoln, NE 68521-5301
Phone (402) 219-4633

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1942073788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 NW 3RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685215301",
            "telephone_number": "402-219-4633",
            "fax_number": "531-248-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 NW 3RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685215301",
            "telephone_number": "402-219-4633",
            "fax_number": "531-248-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH AND WILKS HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "RUSH-WILKS",
        "authorized_official_first_name": "KATIEVIA",
        "authorized_official_middle_name": "QUATREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-219-4633",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.