Organization Active NPI

Kearney Senior Living, LLC

  • Assisted Living Facility
  • Kearney, NE
National Provider Identifier
1962312298
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Sep 9, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.