Organization Active NPI

Northfield Retirement Communities

  • Skilled Nursing Facility
  • Scottsbluff, NE
National Provider Identifier
1942391057
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
704004 Issued in NE
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 COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025386500MedicaidNE

Other names 1

  • Northfield Retirement Communities Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 285271 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 20, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6654.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Northfield Villa Inc2 organizations share this tax ID, including this one
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.

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.

NameRoleSinceShare
Mark Selvey Individual Corporate Director May 1, 2016
Todd Holcomb Individual Corporate Director May 1, 2012
Ken Johnson Individual Corporate DirectorBoard Member May 1, 2010
Fred Wurst Individual Corporate Director May 1, 2010
Shelley Ramirez Individual W-2 Managing Employee Jun 30, 2016
Gwendolyn Bewley Individual W-2 Managing Employee Jul 20, 2007
Valerie Renne Dabney Individual W-2 Managing Employee Mar 27, 2017
Sharyn Wohlers Individual Corporate Officer May 1, 2016
Corporate Director May 1, 2014
Northfield Retirement Communities Organization, Scottsbluff, NE Non-profit Operational/Managerial Control Apr 24, 1970
William a Johnson Individual W-2 Managing EmployeeCeo Feb 4, 2013
Max Miller Individual Corporate Director May 1, 2010
Janet Gardner Individual Corporate Director May 1, 2016
Connie Russel Individual 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.

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": "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

Sources for this page

Verify at the official NPI Registry.