Active NPI
Northfield Retirement Communities
- Skilled Nursing Facility
- Scottsbluff, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 704004
- Legal business name
- NORTHFIELD RETIREMENT COMMUNITIES
- Doing business as
- Northfield Retirement Communities Care Center
- Practice address
- 2100 Circle Dr
Scottsbluff, NE 69361-1893 - Phone
- (308) 632-4342
- Fax
- (308) 630-8190
- NPI assigned
- Sep 27, 2006
- Organization subpart
- Yes
- Parent organization
- NORTHFIELD RETIREMENT COMMUNITIES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rick Colby, R.N.
- Title
- Administrator/Cao
- Phone
- (308) 632-4342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 704004 | NE | Primary |
Addresses
Primary practice location
2100 Circle Dr
Scottsbluff, NE 69361-1893
Mailing address
2100 Circle Dr
Scottsbluff, NE 69361-1893
Phone (308) 632-4342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025386500 | Medicaid | NE |
Other names 1
- Northfield Retirement Communities Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030515000063 | NE | Part A Provider - Skilled Nursing Facility | 4284544743 | Practice locations: Scottsbluff, NE |
Skilled nursing facility certification: CCN 285271
- Legal name
- NORTHFIELD RETIREMENT COMMUNITIES
- Doing business as
- NORTHFIELD RETIREMENT COMMUNITIES CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 20, 2006
- Last certification
- May 8, 2025
- Beds
- 66
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 24, 1970 in NE
- Enrollment address
- 2100 Circle Dr
Scottsbluff, NE 69361-1893 - Nursing home name
- NORTHFIELD RETIREMENT COMMUNITIES CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Northfield Retirement Communities Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 20, 2006
- Medicare certification status
- Active
- Certified beds
- 66
National Provider Directory
National Provider Directory- Tax ID family
- Northfield Villa Inc
- Part of
- Northfield Villa Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Scottsbluff, NE
- NPI 1477950012
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Mark Selvey | Corporate Director | May 1, 2016 | |
| Todd Holcomb | Corporate Director | May 1, 2012 | |
| Ken Johnson | Corporate Director | May 1, 2010 | |
| Fred Wurst | Corporate Director | May 1, 2010 | |
| Shelley Ramirez | W-2 Managing Employee | Jun 30, 2016 | |
| Gwendolyn Bewley | W-2 Managing Employee | Jul 20, 2007 | |
| Valerie Renne Dabney | W-2 Managing Employee | Mar 27, 2017 | |
| Sharyn Wohlers | Corporate Officer | May 1, 2016 | |
| Corporate Director | May 1, 2014 | ||
| Northfield Retirement Communities | Operational/Managerial Control | Apr 24, 1970 | |
| William a Johnson | W-2 Managing Employee | Feb 4, 2013 | |
| Max Miller | Corporate Director | May 1, 2010 | |
| Janet Gardner | Corporate Director | May 1, 2016 | |
| Connie Russel | Corporate Director | May 1, 2015 |
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Assisted Living Facility
- Scottsbluff, NE
- NPI 1477950012
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Scottsbluff, NE
- NPI 1477561512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364774400000",
"number": "1942391057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CIRCLE DR",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693611893",
"telephone_number": "308-632-4342",
"fax_number": "308-630-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CIRCLE DR",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693611893",
"telephone_number": "308-632-4342",
"fax_number": "308-630-8190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHFIELD RETIREMENT COMMUNITIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHFIELD RETIREMENT COMMUNITIES",
"enumeration_date": "2006-09-27",
"last_updated": "2013-04-01",
"status": "A",
"authorized_official_last_name": "COLBY",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "ADMINISTRATOR/CAO",
"authorized_official_telephone_number": "308-632-4342",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "704004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025386500",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northfield Retirement Communities Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scottsbluff, NE
- Thao T Nguyen, DO
- Jon B. Nickell, CRNA
- Larry Wayne Nochi, PHARM D
- Craig Douglas Noe, PHARM. D.
- North Platte Valley Oral & Maxillofacial Surgery, P.C.
- Northfield Retirement Communities, Inc
- Northland Hearing Centers, Inc.
- Northpoint Solutions LLC
- Northstar Anesthesia of Nebraska LLC
- Solomon Nsiah, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.