NPIMap

Organization Active NPI

Alegent Health Immanuel Medical Center

Doing business as Alegent Health Immanuel Medical Center RTC

  • Psychiatric Residential Treatment Facility
  • Omaha, NE
National Provider Identifier
1992964100
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Doing business as
Alegent Health Immanuel Medical Center RTC
Practice address
6845 N 68TH Plaza
Omaha, NE 68122
Phone
(402) 572-2291
NPI assigned
Jun 3, 2008
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Evert Kuiper
Title
Ceo - CHI Health
Phone
(402) 343-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

6845 N 68TH Plaza
Omaha, NE 68122

Mailing address

PO Box 34640
Omaha, NE 68134-0640
Phone (402) 717-7865

Other names 1

  • Alegent Health Immanuel Medical Center RTC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992964100. Details of each certification follow.

  • CCN 28L049 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 28L049

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHI HEALTH IMMANUEL PRTF
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Aug 15, 2008
Last certification
Aug 21, 2023
Beds
20
Ownership / control type
Government – state
Facility address
6845 N 68TH Plaza
Omaha, NE 68122

National Provider Directory

National Provider Directory
Tax ID family
Alegent Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1992964100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34640",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340640",
            "telephone_number": "402-717-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 N 68TH PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68122",
            "telephone_number": "402-572-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH IMMANUEL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "KUIPER",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "CEO - CHI HEALTH",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alegent Health Immanuel Medical Center RTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alegent Health Immanuel Medical Center RTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.