IMMANUEL AFFORDABLE II INC. NPI 1336446350

NPI Information

  • NPI: 1336446350
  • Provider Name: IMMANUEL AFFORDABLE II INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ASSISTED LIVING AT IMMANUEL COURTYARD
  • CLIA Number: 28D1029726
  • Address: 6759 NEWPORT AVE STE 100
    OMAHA, NE
    ZIP 68152
  • Phone: (402) 829-2990

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NPI Details

IMMANUEL AFFORDABLE II INC. 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. IMMANUEL AFFORDABLE II INC. NPI is 1336446350. The provider is registered as an organization entity type.
The provider Is Doing Business As Assisted Living At Immanuel Courtyard.

The provider's business location address is:

6759 NEWPORT AVE STE 100
OMAHA, NE
ZIP 68152-159
Phone: (402) 829-2990
Fax: (402) 829-2940

The provider's authorized official is Eric Gurley .
The authorized official title is Ceo/president and has the following contact phone number (402) 829-2950.

The CLIA number assigned to this NPI record is 28D1029726 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2011 and was last updated on 2/28/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityALF273NEBRASKAYes

What is NPI?

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

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