Active NPI
Kearney Senior Living, LLC
- Assisted Living Facility
- Kearney, NE
National Provider Identifier
1962312298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- KEARNEY SENIOR LIVING, LLC
- Practice address
- 617 22ND Ave
Kearney, NE 68845-2368 - Phone
- (308) 856-2100
- Fax
- (308) 224-3790
- NPI assigned
- Sep 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor Jackson, LCSW
- Title
- Director of Quality and Compliance
- Phone
- (402) 403-4330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
617 22ND Ave
Kearney, NE 68845-2368
Mailing address
16934 Frances St Ste 200
Omaha, NE 68130-2397
Phone (402) 403-4330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1962312298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16934 FRANCES ST STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302397",
"telephone_number": "402-403-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 22ND AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452368",
"telephone_number": "308-856-2100",
"fax_number": "308-224-3790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEARNEY SENIOR LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TAYLOR",
"authorized_official_title_or_position": "DIRECTOR OF QUALITY AND COMPLIANCE",
"authorized_official_telephone_number": "402-403-4330",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.