NPIMap

Organization Active NPI

O'Neill Senior Living, LLC

Doing business as Country Lane Retirement village

  • Alzheimer Center (Dementia Center)
  • O'Neill, NE
National Provider Identifier
1962919472
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
ALF373 Issued in NE
Legal business name
O'NEILL SENIOR LIVING, LLC
Doing business as
Country Lane Retirement village
Practice address
1203 E Hynes Ave.
Oneill, NE 68763
Phone
(402) 961-1358
Fax
(402) 961-1356
NPI assigned
Jan 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Alisha Schroeder
Title
Administrator
Phone
(402) 961-1358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X ALF373 NE Primary

Addresses

Primary practice location

1203 E Hynes Ave.
Oneill, NE 68763

Mailing address

1203 E Hynes Ave.
Oneill, NE 68763
Phone (402) 961-1358

Other names 1

  • Country Lane Retirement village Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1962919472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E HYNES AVE.",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "68763",
            "telephone_number": "402-961-1358",
            "fax_number": "402-961-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E HYNES AVE.",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "68763",
            "telephone_number": "402-961-1358",
            "fax_number": "402-961-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'NEILL SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-961-1358"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NE",
            "license": "ALF373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Lane Retirement village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Neill, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.