THE AMBASSADOR OMAHA INC. NPI 1184638405

NPI Information

  • NPI: 1184638405
  • Provider Name: THE AMBASSADOR OMAHA, INC.
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Address: 1540 N 72ND ST
    OMAHA, NE
    ZIP 68114
  • Phone: (402) 393-6500

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NPI Details

THE AMBASSADOR OMAHA, INC. is a skilled nursing facility in Omaha, NE. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. THE AMBASSADOR OMAHA, INC. NPI is 1184638405. The provider is registered as an organization entity type.

The provider's business location address is:

1540 N 72ND ST
OMAHA, NE
ZIP 68114-924
Phone: (402) 393-6500

The provider's authorized official is Brent B Shanholtz .
The authorized official title is Chief Financial Officer and has the following contact phone number (402) 873-8541.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 8/17/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric264003NEBRASKANo
2225X00000XOccupational Therapist264003NEBRASKANo
3225100000XPhysical Therapist264003NEBRASKANo
4235Z00000XSpeech-Language Pathologist264003NEBRASKANo
5314000000XSkilled Nursing Facility264003NEBRASKAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========-02MEDICAIDNEBRASKA
2=========-32MEDICAIDNEBRASKA
3=========OTHERNEBRASKAMETHODIST
4=========-00MEDICAIDNEBRASKA
50517300002OTHERIOWADME
6=========OTHERNEBRASKAMIDLAND CHOICE
7=========-68MEDICAIDNEBRASKA
8=========-69MEDICAIDNEBRASKA
9=========-01MEDICAIDNEBRASKA
100235010MEDICAIDSOUTH DAKOTA
110517300002OTHERNEBRASKADME

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: 11/21/2025

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