NPIMap

Organization Active NPI

City of Genoa

  • Inpatient Hospice
  • Genoa, NE
National Provider Identifier
1982979894
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
HOSPICE 48 Issued in NE
Legal business name
CITY OF GENOA
Practice address
706 Ewing St
Genoa, NE 68640-3035
Phone
(402) 993-2283
Fax
(402) 993-2373
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Amanda Roebuck, RN
Title
Hospice Administrator
Phone
(402) 993-2283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X HOSPICE 48 NE Primary

Addresses

Primary practice location

706 Ewing St
Genoa, NE 68640-3035

Mailing address

PO Box 310
Genoa, NE 68640-0310
Phone (402) 993-2283

Other names 1

  • Genoa Hospice Other name

National Provider Directory

National Provider Directory
Tax ID family
Park Street Medical Cli7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1982979894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "GENOA",
            "state": "NE",
            "postal_code": "686400310",
            "telephone_number": "402-993-2283",
            "fax_number": "402-993-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 EWING ST",
            "city": "GENOA",
            "state": "NE",
            "postal_code": "686403035",
            "telephone_number": "402-993-2283",
            "fax_number": "402-993-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GENOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "ROEBUCK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "HOSPICE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-993-2283",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NE",
            "license": "HOSPICE 48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genoa Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Genoa, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.