Park View Haven Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

124001 Issued in NE

Legal business name

PARK VIEW HAVEN NURSING HOME

Doing business as

Park View Haven Nursing Home

Practice address

309 North Madison
Coleridge, NE 68727-2602

Phone

(402) 283-4224

NPI assigned

Jul 9, 2006

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheryl I Kalin

Title

Administrator

Phone

(402) 283-4224

Specialties & licenses 1

Addresses

Other names 1

• Park View Haven Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962435180. Details of each certification follow.

• CCN 285073 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 285073

Legal name

PARK VIEW HAVEN NURSING HOME

Doing business as

PARK VIEW HAVEN NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 28, 1986

Last certification

Jan 28, 2025

Beds

34

Ownership / control type

Other Nonprofit

Organization structure

OtherNon-profit

Enrollment address

309 N Madison St
Coleridge, NE 68727-2602

Nursing home name

PARK VIEW HAVEN NURSING HOME

Listed as

Park View Haven Nursing HomeCCN 285073 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Jul 28, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3423.1 residents per day on average

Penalties (3 years)

2Fines totaling $34,512

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Park View Haven Nursing Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Park View Haven Nursing Home

  • Home Delivered Meals
  • Coleridge, NE
  • NPI 1689562332
  NPD tax ID
• Village of Coleridge

  dba Park View Haven/The Embers

  • Assisted Living Facility
  • Coleridge, NE
  • NPI 1124314901
  NPD tax ID

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Samuel J. Recob, M.D.

  • Family Medicine Physician
  • Laurel, NE
  • NPI 1427218577

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel J. Recob, M.D.

  • Family Medicine Physician
  • Laurel, NE
  • NPI 1427218577
  NPD (past)
• Scott Lee Shindler, DPM

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1295742310
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samuel J. Recob, M.D.

  • Family Medicine Physician
  • Laurel, NE
  • NPI 1427218577

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1962435180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NORTH MADISON",
            "city": "COLERIDGE",
            "state": "NE",
            "postal_code": "687272602",
            "telephone_number": "402-283-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NORTH MADISON",
            "city": "COLERIDGE",
            "state": "NE",
            "postal_code": "687272602",
            "telephone_number": "402-283-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VIEW HAVEN NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "KALIN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-283-4224"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "124001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park View Haven Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Ellwanger
• Janell Frerichs
• Victoria M Fritz
• Emily Rose Harders, PTA
• Park View Haven Nursing Home
• Janice Peregoy
• Hal Lawrence Somer, P.T.
• Village of Coleridge (Park View Haven/The Embers)

• Skilled Nursing Facility in Coleridge, NE
• Providers in Coleridge, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.