NPIMap

Organization Active NPI

Haven Manor, Inc.

  • Assisted Living Facility
  • Lincoln, NE
National Provider Identifier
1972646693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
6681603 Issued in NE
Legal business name
HAVEN MANOR, INC.
Practice address
4848 S 48TH St
Ste. 2
Lincoln, NE 68516-1290
Phone
(402) 434-2680
Fax
(402) 434-2683
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sarah R Fischer, L.A.
Title
Training Program Supervisor
Phone
(402) 434-2680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 6681603 NE Primary

Addresses

Primary practice location

4848 S 48TH St
Ste. 2
Lincoln, NE 68516-1290

Mailing address

PO Box 6125
Lincoln, NE 68506-0125
Phone (402) 434-2680

National Provider Directory

National Provider Directory
Tax ID family
Haven Manor Assisted Living Plus3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4848 S 48th St
Ste 2
Lincoln, NE 68516
Phone (402) 434-2680

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972646693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6125",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060125",
            "telephone_number": "402-434-2680",
            "fax_number": "402-434-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 S 48TH ST",
            "address_2": "STE. 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161290",
            "telephone_number": "402-434-2680",
            "fax_number": "402-434-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TRAINING PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "402-434-2680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "6681603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.