Kismet LXN, LLC.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

224003 Issued in NE

Legal business name

KISMET LXN, LLC.

Doing business as

Plum Creek Care Center

Practice address

1505 N Adams St
Lexington, NE 68850-1243

Phone

(308) 324-5531

Fax

(308) 324-5630

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Michael L. Moore

Title

Chief Financial Officer

Phone

(605) 642-7736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plum Creek Care Center Doing business as

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1972504207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N ADAMS ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501243",
            "telephone_number": "308-324-5531",
            "fax_number": "308-324-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N ADAMS ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501243",
            "telephone_number": "308-324-5531",
            "fax_number": "308-324-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET LXN, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "224003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026750101",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plum Creek Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashton Johnson, DPT
• Mark R Jones, M.D.
• Priscila Juarez
• Taylor Junker, MS, CCC-SLP
• Hodan Muqtar Kamil
• Kyle F Klammer, M.D.
• Kloch Counseling
• Gregory M Kloch, M.D.
• Susan Kloch, LICSW, LADC
• Penelope M Knapp, PLMHP, PLADC

• Skilled Nursing Facility in Lexington, NE
• Providers in Lexington, 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 Feb 25, 2019; 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.