Pender Care Centre District Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

42116496400 Issued in NE

Legal business name

PENDER CARE CENTRE DISTRICT INC

Doing business as

Legacy Garden Rehabilitation and Living Center

Practice address

200 Valley View Dr
Pender, NE 68047-4443

Phone

(402) 385-3072

Fax

(402) 385-2603

NPI assigned

Nov 28, 2006

Last updated

Oct 17, 2022By 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

Laura J Gamble

Title

Ceo

Phone

(402) 385-3083

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legacy Garden Rehabilitation and Living Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pender Community Hospital District

  dba Pender Community Health

  • Medicare Defined Swing Bed Hospital Unit
  • Pender, NE
  • NPI 1902960313

  Member Of

  NPD member

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1962578997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALLEY VIEW DR",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680474443",
            "telephone_number": "402-385-3072",
            "fax_number": "402-385-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALLEY VIEW DR",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680474443",
            "telephone_number": "402-385-3072",
            "fax_number": "402-385-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDER CARE CENTRE DISTRICT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-385-3083"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "42116496400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024972000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Garden Rehabilitation and Living Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Garden Rehabilitation and Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northeast Eye Care, PC
• Northeast Nebraska Community Action Partnership, Inc.
• Debra Elin Obermeyer
• Carmen Paredes
• Pender Care Centre District Inc (PCH Pharmacy - Pender)
• Pender Community Hospital District
• Pender Community Hospital District (Pender Medical Clinic PCMH)
• Pender Community Hospital District (Pender Community Health)
• Pender Community Hospital District
• Pender Community Hospital District (Pender Community Health)

• Skilled Nursing Facility in Pender, NE
• Providers in Pender, 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 Oct 17, 2022; 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.