Midwest Covenant Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

644002 Issued in NE

Legal business name

MIDWEST COVENANT HOME, INC.

Practice address

615 E 9TH St
Stromsburg, NE 68666-4053

Phone

(402) 764-2711

NPI assigned

Jul 6, 2011

Last updated

Jul 6, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

SKILLED NURSING FACILITYAs reported in NPPES

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

Authorized official

Name

Mr. Christoper M Young

Title

Administrator

Phone

(402) 764-2711

Specialties & licenses 1

Addresses

Other names 1

• Midwest Covenant Home OTHS Other name

Part of

Midwest Covenant Home I

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1962799320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 9TH ST",
            "address_2": "P O BOX 367",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686664053",
            "telephone_number": "402-764-2711",
            "fax_number": "402-764-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 9TH ST",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686664053",
            "telephone_number": "402-764-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COVENANT HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKILLED NURSING FACILITY",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHRISTOPER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-764-2711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "644002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Covenant Home OTHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brent Jameson, MD
• David Bryce Jameson, MD
• James Lawrence Kappers, PLMHP
• Celeste McCoy
• Midwest Covenant Home, Inc.
• Hyde Patience, M.S. ED., CCC-SLP
• Peterson Chiropractic and Wellness LLC
• Connor Neal Peterson, DC
• Prairie Creek Family Medicine LLC
• Tanya Michelle Randolph-Elgin, PSY.D.

• Skilled Nursing Facility in Stromsburg, NE
• Providers in Stromsburg, 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 Jul 6, 2011; 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.