HERITAGE RIDGE OPERATING LLC NPI 1275806838

NPI Information

  • NPI: 1275806838
  • Provider Name: HERITAGE RIDGE OPERATING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: HERITAGE RIDGE RETIREMENT COMMUNITY
  • CLIA Number: 28D2004618
  • Address: 1502 FORT CROOK RD S
    BELLEVUE, NE
    ZIP 68005
  • Phone: (402) 932-1881

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NPI Details

HERITAGE RIDGE OPERATING LLC is an assisted living facility in Bellevue, 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 RIDGE OPERATING LLC NPI is 1275806838. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Ridge Retirement Community.

The provider's business location address is:

1502 FORT CROOK RD S
BELLEVUE, NE
ZIP 68005-972
Phone: (402) 932-1881
Fax: (402) 916-5500

The provider's authorized official is Stacy Randels .
The authorized official title is Executive Director and has the following contact phone number (402) 932-1881.

The CLIA number assigned to this NPI record is 28D2004618 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2012 and was last updated on 2/13/2012.

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
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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