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HERITAGE AT STERLING RIDGE OPERATING LLC NPI 1548791353


NPI Information

NPI: 1548791353
Provider Name: HERITAGE AT STERLING RIDGE OPERATING LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 28D2088546

Address:
1111 STERLING RIDGE DR
OMAHA, NE
ZIP 68144
Phone: (402) 504-3111
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HERITAGE AT STERLING RIDGE OPERATING LLC is an assisted living facility in Omaha, NE. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HERITAGE AT STERLING RIDGE OPERATING LLC NPI is 1548791353. The provider is registered as an organization entity type.

The provider's business location address is:

1111 STERLING RIDGE DR
OMAHA, NE
ZIP 68144-275
Phone: (402) 504-3111
Fax: (402) 933-0434

The provider's authorized official is Tracy Lichti .
The authorized official title is Executive Director and has the following contact phone number (402) 504-3111.

The CLIA number assigned to this NPI record is 28D2088546 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2017 and was last updated on 3/23/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityNEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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