NPIMap

Organization Active NPI

Heritage of Wauneta, Inc

Doing business as Heritage of Wauneta

  • Skilled Nursing Facility
  • Wauneta, NE
National Provider Identifier
1972612778
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
134002 Issued in NE
Legal business name
HERITAGE OF WAUNETA, INC
Doing business as
Heritage of Wauneta
Practice address
427 W Legion
Wauneta, NE 69045-4549
Phone
(308) 394-5738
Fax
(308) 394-5733
NPI assigned
Aug 29, 2006
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Jack Dean Vetter
Title
President
Phone
(402) 895-3932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 134002 NE Primary

Addresses

Primary practice location

427 W Legion
Wauneta, NE 69045-4549

Mailing address

PO Box 520
Wauneta, NE 69045-0520
Phone (308) 394-5738

Other names 1

  • Heritage of Wauneta 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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1972612778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "WAUNETA",
            "state": "NE",
            "postal_code": "690450520",
            "telephone_number": "308-394-5738",
            "fax_number": "308-394-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W LEGION",
            "city": "WAUNETA",
            "state": "NE",
            "postal_code": "690454549",
            "telephone_number": "308-394-5738",
            "fax_number": "308-394-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OF WAUNETA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "134002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage of Wauneta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauneta, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.