Provider Type Icon

KEARNEY GOOD SAMARITAN HOUSING INC NPI 1144516196


NPI Information

NPI: 1144516196
Provider Name: KEARNEY GOOD SAMARITAN HOUSING, INC

Doing Business As: ST LUKE'S COUNTRYSIDE VILLA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2300 E 32ND ST
KEARNEY, NE
ZIP 68847
Phone: (308) 236-9395
Get Directions

KEARNEY GOOD SAMARITAN HOUSING, INC is an assisted living facility in Kearney, 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. KEARNEY GOOD SAMARITAN HOUSING, INC NPI is 1144516196. The provider is registered as an organization entity type.
The provider Is Doing Business As St Luke's Countryside Villa.

The provider's business location address is:

2300 E 32ND ST
KEARNEY, NE
ZIP 68847-900
Phone: (308) 236-9395

The provider's authorized official is Raye Nae Nylander .
The authorized official title is Cfo and has the following contact phone number (605) 362-3100.

The enumeration date for this NPI number is 6/28/2011 and was last updated on 6/30/2011.


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 FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========00MEDICAIDNEBRASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.