Clarkson Community Care Center Inc.
Organization Active NPI Skilled Nursing Facility · Clarkson, NE
NPI 1952828352 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1952828352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 174001 (NE)
- Legal business name
- CLARKSON COMMUNITY CARE CENTER INC.
- Practice address
- 212 Sunrise Dr
Clarkson, NE 68629-4042 - Phone
- (402) 892-3494
- NPI assigned
- Aug 25, 2017
- Organization subpart
- No
Authorized official
- Name
- Heather Eagle
- Title
- Administrator
- Phone
- (402) 892-3494
Owners & managing parties with NPI records 1
-
Brian E Hass, MD
Member of 1
Affiliated clinicians 4
-
Sandra Lee Doernemann, APRN
-
Brian E Hass, MD
-
Usha Kiran Kanthety, M.B.B.S
-
Jodene Schmidt, P.A.
Medicare Care Compare: Nursing home
- Listed as
- Clarkson Community Care Center Inc
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Apr 1, 1992
- Medicare certification status
- Active
- Certified beds
- 51 · 31.4 residents per day on average
- Penalties (3 years)
- 3 · fines totaling $15,593
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0455417 | Clarkson Community Care Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Skilled nursing facility certification: CCN 285116
- Legal name
- CLARKSON COMMUNITY CARE CENTER INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1992
- Last certification
- Aug 22, 2024
- Beds
- 52 (51 certified)
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 1, 2020 in NE
- Enrollment address
- 212 Sunrise Dr
Clarkson, NE 68629-4042 - Nursing home name
- CLARKSON COMMUNITY CARE CENTER INC
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Williams |
Corporate Officer |
Oct 20, 2025 | |
| Adp of the SNF | Mar 30, 2026 | ||
| Chay M Indra |
Corporate Officer |
Nov 1, 2025 | |
| Daniel Martin |
Corporate Officer | Aug 16, 2023 | |
| Trustee of the SNF | Aug 16, 2023 | ||
| Brian Oenbring |
Corporate Officer | Jan 17, 2026 | |
| Lucy Hahn |
Corporate Officer | Oct 1, 2025 | |
| Brian E Hass |
Operational/Managerial Control | Aug 1, 2017 | |
| Adp of the SNF | Aug 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210510001411 | NE | Part a Provider - Skilled Nursing Facility | 5890102024 | Practice locations: Clarkson, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 174001 | NE | |
| Speech-Language Pathologist |
235Z00000X | 174001 | NE | |
| Physical Therapy Clinic/Center | 261QP2000X | 174001 | NE | |
| Assisted Living Facility | 310400000X | 174001 | NE | |
| Skilled Nursing Facility | 314000000X | 174001 | NE | Yes |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
212 Sunrise Dr
Clarkson, NE 68629-4042
Mailing address
212 Sunrise Dr
Clarkson, NE 68629-4042
Phone (402) 892-3494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026893500 | Medicaid | NE | |
| NH0040 | Other | NE | DHHS |
Other names
- Clarkson Community Care Center
Other providers in Clarkson, NE
- Debra Ann Beringer
- Cada Counseling LLC
- Susan Renee Cahill
- City of Clarkson
- Clarkson Care and Rehabilitation Center, LLC
- Clarkson Public School
- Jerod J Gall
- Kylee Sue Guidry
- Rachel Marty
- Cheryl Mae O'Quin
All providers in Clarkson, NE · Skilled Nursing Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.