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THE WATERFORD CARE FACILITY AT COLLEGE VIEW NPI 1326318536


NPI Information

NPI: 1326318536
Provider Name: THE WATERFORD CARE FACILITY AT COLLEGE VIEW
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4848 S 48TH ST
LINCOLN, NE
ZIP 68516
Phone: (402) 434-2680
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THE WATERFORD CARE FACILITY AT COLLEGE VIEW is an assisted living facility in Lincoln, 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. THE WATERFORD CARE FACILITY AT COLLEGE VIEW NPI is 1326318536. The provider is registered as an organization entity type.

The provider's business location address is:

4848 S 48TH ST
LINCOLN, NE
ZIP 68516-290
Phone: (402) 434-2680
Fax: (402) 434-2683

The provider's authorized official is Deb Maguire .
The authorized official title is Chief Operating Officer and has the following contact phone number (402) 434-2680.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 1/4/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALF 076NEBRASKAYes

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
147-0760634-04MEDICAIDNEBRASKA

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: 11/14/2023

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