Organization Active NPI

Meridian Gardensoperating LLC

  • Assisted Living Facility
  • Columbus, NE
National Provider Identifier
1972896611
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MERIDIAN GARDENSOPERATING LLC
Practice address
4515 38TH St
Columbus, NE 68601-1609
Phone
(402) 564-6300
Fax
(402) 562-4594
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Mr. Mark Alan Zehr
Title
Executive Director
Phone
(402) 564-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4515 38TH St
Columbus, NE 68601-1609

Mailing address

4515 38TH St
Columbus, NE 68601-1609
Phone (402) 564-6300

Other identifiers 1

IdentifierTypeStateIssuer
100254514/00MedicaidNE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1972896611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011609",
            "telephone_number": "402-564-6300",
            "fax_number": "402-562-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011609",
            "telephone_number": "402-564-6300",
            "fax_number": "402-562-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN GARDENSOPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "ZEHR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-564-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254514/00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.