Cornhusker Place

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

P-787 Issued in NE

Legal business name

CORNHUSKER PLACE

Practice address

721 K St
Lincoln, NE 68508-2949

Phone

(402) 477-3951

NPI assigned

Oct 12, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Douglas David Fruge, PLADC P-787

Title

Substance Abuse Counselor

Phone

(402) 477-3951

Specialties & licenses 1

Addresses

Tax ID family

Cornhusker Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Bridge Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Lincoln, NE
  • NPI 1407999691
  NPD tax ID

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1942552013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GROVELAND ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212653",
            "telephone_number": "253-507-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082949",
            "telephone_number": "402-477-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNHUSKER PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "FRUGE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "402-477-3951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PLADC P-787"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "P-787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Families II LLC
• Cornerstone Medical Center
• Cornerstone Therapy Centre, PC
• Cornhusker Chiropractic PC
• Cornhusker Place
• Audrey Irene Cornish
• Shellie Rae Cornwell
• Ray Martin Corona
• Jorge Coronilla
• Linda Denise Corr, PA-C

• Substance Abuse Rehabilitation Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Substance Abuse Rehabilitation Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.