NPIMap

Organization Active NPI

TR Hepburn Inc

  • Assisted Living Facility (Mental Illness)
  • Lincoln, NE
National Provider Identifier
1962758979
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
ALF116 Issued in NE
Legal business name
TR HEPBURN INC
Doing business as
O U R Homes
Practice address
2039 Q St
Apt 101
Lincoln, NE 68503-3643
Phone
(402) 474-2121
Fax
(402) 477-9752
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mr. Robert Frederick Hepburn
Title
Officer/Business Manager
Phone
(402) 474-2121

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Assisted Living Facility (Mental Illness) 3104A0625X ALF116 NE Primary
Assisted Living Facility (Mental Illness) 3104A0625X ALF181 NE
Non-emergency Medical Transport (VAN) 343900000X B1750 NE
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X

Addresses

Primary practice location

2039 Q St
Apt 101
Lincoln, NE 68503-3643

Mailing address

2039 Q St
Apt 101
Lincoln, NE 68503-3643
Phone (402) 474-2121

Other identifiers 8

IdentifierTypeStateIssuer
10026195600MedicaidNE
10026240800MedicaidNE
10026350200MedicaidNE
10026240900MedicaidNE
10025513400MedicaidNE
10026241000MedicaidNE
10026349800MedicaidNE
10026359400MedicaidNE

Other names 1

  • O U R Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TR Hepburn Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2039 Q St
Apt 101
Lincoln, NE 68503
Phone (402) 474-2121

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1962758979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 Q ST",
            "address_2": "APT 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033643",
            "telephone_number": "402-474-2121",
            "fax_number": "402-477-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 Q ST",
            "address_2": "APT 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033643",
            "telephone_number": "402-474-2121",
            "fax_number": "402-477-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TR HEPBURN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "HEPBURN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OFFICER/BUSINESS MANAGER",
        "authorized_official_telephone_number": "402-474-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NE",
            "license": "ALF116",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NE",
            "license": "ALF181",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NE",
            "license": "B1750",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026195600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026240800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026350200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026240900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025513400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026241000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026349800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026359400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O U R Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.