NPIMap

Organization Active NPI

Faith Regional Health Services

  • Skilled Nursing Facility
  • Norfolk, NE
National Provider Identifier
1972608248
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
524007 Issued in NE
Legal business name
FAITH REGIONAL HEALTH SERVICES
Practice address
401 N 18TH St
Norfolk, NE 68701-3686
Phone
(402) 644-7375
Fax
(402) 379-4867
NPI assigned
Sep 13, 2006
Organization subpart
Yes
Parent organization
FAITH REGIONAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Kelly A Driscoll
Title
President/Ceo
Phone
(402) 371-4880

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF159 NE
Nursing Facility/Intermediate Care Facility 313M00000X 524007 NE
Skilled Nursing Facility 314000000X 524007 NE Primary

Addresses

Primary practice location

401 N 18TH St
Norfolk, NE 68701-3686

Mailing address

PO Box 869
Norfolk, NE 68702-0869
Phone (402) 644-7249

Other identifiers 1

IdentifierTypeStateIssuer
00688OtherNEBCBS

Other names 1

  • St. Joseph's Rehabilitation and Care Center Doing business as

National Provider Directory

National Provider Directory
Part of
Faith Regional HLTH SRVC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1972608248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 869",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687020869",
            "telephone_number": "402-644-7249",
            "fax_number": "402-644-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 18TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013686",
            "telephone_number": "402-644-7375",
            "fax_number": "402-379-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH REGIONAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH REGIONAL HEALTH SERVICES",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-371-4880"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF159",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "524007",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "524007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00688",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph's Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.